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1978 年5 月~1990 年6 月共收治上颌窦恶性肿瘤22 例,其中上颌窦癌21 例,肉瘤1 例。男18 例,女4 例。40 ~59 岁占全组65 % ,平均492 岁。Ⅲ期14 例,Ⅳ期8 例,无Ⅰ、Ⅱ期病例。病理类型以鳞状细胞癌为最多,占59 % 。单纯手术2 例,综合治疗( 手术+ 放疗)20 例。3 年、5 年生存率分别为631 % 、362 % 。放疗均在手术后进行,说明要提高上颌窦恶性肿瘤五年生存率首先要注重早期诊断,扩大性根治手术等综合治疗,而控制局部复发是影响上颌窦恶性肿瘤预后的关键。
From May 1978 to June 1990, 22 cases of maxillary sinus malignancies were treated, including 21 cases of maxillary sinus cancer and 1 case of sarcoma. 18 males and 4 females. 40 to 59 years old accounted for 65% of the whole group, with an average of 49 2 years old. 14 cases of stage Ⅲ, 8 cases of stage Ⅳ, no cases of stage Ⅰ and Ⅱ. Squamous cell carcinoma was the most common pathological type, accounting for 59%. Simple surgery in 2 cases, comprehensive treatment (surgery + radiotherapy) in 20 cases. The 3-year and 5-year survival rates were 631% and 362% respectively. Radiotherapy are performed after surgery, indicating that to improve the five-year survival rate of maxillary sinus malignancy should first pay attention to early diagnosis, enlarged radical surgery and other comprehensive treatment, and control of local recurrence is the key to prognosis of maxillary sinus malignancy.