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Ⅰ期NSCLC,手术仍是首选的治疗方法,其5年生存率≥50％。然而,一些因医疗条件差和/或年龄大的原因不宜手术治疗的肺癌(MILC),仅行单纯放疗,其长期生存率为5％～30％。作者报道了自1980年1月～1995年10月,156例Ⅰ期MILC病人,在Duke大学医疗中心和Durham退伍军人管理局医疗中心接受放疗,15例因故(7例姑息治疗,8例治疗后失访)剔除后共分析了141例。据AJCC分期,T_1N_075例,T_2N_063例,双侧T_13例;中位年龄70岁(46～95岁);男117例,女24例;肿瘤大小0.5
In stage I NSCLC, surgery is still the preferred treatment, with a 5-year survival rate of ≥50%. However, some lung cancers (MILC) that are not suitable for surgical treatment because of poor medical conditions and/or age are only treated with radiotherapy alone, and their long-term survival rate is 5% to 30%. The authors reported that from January 1980 to October 1995, 156 patients with stage I MILC received radiotherapy at the Duke University Medical Center and the Durham Veterans Administration Medical Center. 15 patients were treated with palliative care and 8 treatments. After the loss, a total of 141 cases were analyzed. According to the AJCC staging, T_1N_075 cases, T_2N_063 cases, bilateral T_13 cases; median age 70 years (46 to 95 years old); male 117 cases, female 24 cases; tumor size 0.5