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由于晚样囊性癌(ACC)具有特殊的生物学行为,故远期疗效差,生存率低。本文在26例患者获得长期随访的基础上、对其影响预后的因素进行分析。其中随访是长者26年,最短者8年,均为1970~1989年间住院病人。结果:26例中,18例健在,8例死亡,生存率为69.2%。其影响预后因素主要有:与局部复发转移、治疗方法选择、术后时间长短、临床分期、病理类型等有关。作者认为,由于ACC易复发,远期疗效差,侵袭神经于,肿瘤细胞常沿神经于扩散,故在治疗上必须彻底切除原发灶,必要时施行全须清扫术,术后进行放疗。对于腮除区ACC面神经的去留,应视病情而定。
Due to late-stage cystic carcinoma (ACC) has a special biological behavior, so long-term efficacy is poor, low survival rate. In this paper, based on the long-term follow-up of 26 patients, the factors affecting prognosis were analyzed. The follow-up was the elderly 26 years, the shortest of 8 years, all from 1970 to 1989 inpatients. Results: Of the 26 cases, 18 were alive and 8 died, with a survival rate of 69.2%. The main prognostic factors include: with local recurrence and metastasis, treatment options, the length of time after surgery, clinical stage, pathological type and so on. The author believes that due to the ACC recurrence, the long-term curative effect is poor, invasion of nerves, tumor cells often spread along the nerve, it must be completely removed in the treatment of primary tumor, if necessary, the implementation of the whole must be cleaned, radiotherapy after surgery. For gills except area ACC facial nerve to go, depending on the condition may be.