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扁桃体鳞癌好发于50~70年龄组,病人常有嗜烟酒习惯。如果发生于较年青的非嗜烟者,其肿瘤往往呈侵袭性生长,生存率亦差。扁桃体鳞癌的治疗方针尚未统一。本文作者回顾总结160例病人的治疗经验,其中单纯放疗组112例;原发灶放疗加计划性颈廓清31例,此类病例多为颈部放疗后淋巴结不能完全消失者:单纯手术11例,多为种种原因不能放疗者;手术与放疗综合治疗6例,多为晚期的病人。放射治疗的剂量,原发灶6500~7500拉德,颈部5000~5500拉德。肿瘤分期按美国癌症协会分期(1980)的标准。结果分析:放疗病人,原发灶T_1的二年肿
Tonsillar squamous cell carcinoma occurs predominantly in the 50-70 age group, and patients often have habits of smoking and drinking. If it occurs in younger non-smokers, their tumors tend to be invasive and have poor survival. The treatment guidelines for tonsil squamous cell carcinoma have not been unified. The authors review and summarize the treatment experience of 160 patients, including 112 cases of radiotherapy alone; 31 cases of primary radiotherapy plus planned cervical dissection. Most of these cases were incomplete disappearance of lymph nodes after radiotherapy of the neck: 11 cases were treated by simple surgery. For many reasons can not be radiotherapy; surgery and radiotherapy comprehensive treatment of 6 cases, mostly late patients. The dose of radiation therapy was 6,500 to 7,500 rads for the primary tumor and 5,000 to 5,500 rads for the neck. Tumor staging was based on the American Cancer Society staging (1980) criteria. Analysis of results: radiotherapy patients, primary tumor T_1 of the second year