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鼻咽癌(NPC)伴颈部淋巴结转移很常见,但伴腋下淋巴结转移则罕见。我院自1963年1984年间共治疗鼻咽癌患者865例,其中10例曾发生腋下淋巴结转移,发生率为1.16％。经治疗后仅1例存活5年,结果如下: 一、一般资料(见附表) 二、治疗方法鼻咽癌原发灶均用~(60)Co外照射,常设双耳前野或加鼻前野,D_T=60～70Gy/6～7周。颈部及腋下转移灶早年仅行局部深层X线外照射,Da30～50Gy/4～6周;1978年后则先用~(60)Co切线野照射Da40Gy/4周,然后补照Da20～30Gy深层X线。所有患者均采用常规分次连续照射法。有4例病人曾于放疗结束后1个月加用环
Nasopharyngeal carcinoma (NPC) with lymph node metastasis in the neck is common, but it is rare with axillary lymph node metastasis. In our hospital, 865 cases of nasopharyngeal carcinoma were treated in our hospital from 1963 to 1984, and 10 cases had axillary lymph node metastasis. The incidence rate was 1.16%. After treatment, only 1 case survived for 5 years. The results are as follows: I. General information (see attached table) II. Treatment The primary tumors of nasopharyngeal carcinoma were externally irradiated with ~(60)Co, and the standing bina before the field or plus the prenasal field. D_T = 60 to 70 Gy/6 to 7 weeks. In the neck and infrapatellar metastases, only local deep X-rays were irradiated in the early years, Da30-50 Gy/4 to 6 weeks; after 1978, Da40Gy/4 weeks were irradiated with ~(60)Co tangential field, and then the Da20~ 30Gy deep X-ray. All patients were treated with conventional fractionated continuous irradiation. Four patients had added a ring one month after the end of radiotherapy