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肺癌中,小细胞肺癌占20%,难以用手术切除及放射治疗得到完全缓解。局限性小细胞肺癌是指癌肿病灶在肺部,局限在单个放射治疗范围内;广泛性小细胞肺癌是指癌肿发展在胸部以外,超出单个放射治疗范围者。美国1977年有7,000例局限性小细胞肺癌。若不治疗,则50%在14周内死亡,仅7%生存至1年,单独应用手术或放射治疗者,往往1年内多死于转移。广泛性小细胞肺癌生存期则更短。本文报告自1976年2月至1978年1月对32例局限性小细胞肺癌(病理证实为燕麦细胞及中间细胞型癌)的治疗结果,经长期随访,32例中,29例完全缓解,3例部份缓解,延长了生存期。
In lung cancer, small cell lung cancer accounts for 20% and it is difficult to achieve complete remission with surgical resection and radiation therapy. Localized small cell lung cancer refers to the presence of cancerous lesions in the lungs, confined to a single radiotherapy range. Extensive small cell lung cancer refers to cancers that develop beyond the chest and beyond the scope of a single radiation therapy. In the United States in 1977, there were 7,000 cases of localized small cell lung cancer. If left untreated, 50% will die within 14 weeks and only 7% will survive to 1 year. Individuals who use surgery or radiation alone will often die of metastasis within 1 year. The survival of extensive small cell lung cancer is shorter. This article reports the results of 32 cases of localized small cell lung cancer (obesity confirmed as oat cells and intermediate cell type cancer) from February 1976 to January 1978. After long-term follow-up, 32 cases, 29 cases of complete remission, 3 Some cases eased, extending survival.