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本文复习了1组舌癌术后复发病例的治疗经验,分析了复发类型及患者的预后。 材料和方法 治疗舌癌227例,其中92例(40.5％)在1986年1月至1995年4月问局部复发。另有6名复发患者曾在其它医院接受初次手术,共计98例复发患者。除外17名曾接受术后辅助放疗及4名未经定期复查者,本组患者共77例。年龄24～91岁,年龄中位数为50岁。所有患者都经过初次手术治疗,但未常规做根治术,因为大多数病例诊断为早期。大多数病例在初次手术后1年内复发。15例舌原位复发,45例颈部淋巴结复发,17例舌原位及颈部淋巴结均复发。77例复发患者中有12例拒绝进一步的创伤性治疗,仅接受支持疗法。其余65名接受手术和(或)放疗。
This review of a group of patients with recurrent tongue cancer treatment experience, analysis of the recurrence type and prognosis of patients. Materials and methods for the treatment of tongue cancer in 227 cases, of which 92 cases (40.5%) in January 1986 to April 1995 asked local recurrence. Another 6 recurrent patients had undergone initial surgery in other hospitals, for a total of 98 recurrent patients. Except for 17 patients who had received postoperative adjuvant radiotherapy and 4 patients who had not undergone regular review, 77 patients in this group were excluded. Aged 24-91 years old, the median age was 50 years old. All patients underwent initial surgery but did not have a routine curative procedure, as most cases were diagnosed early. Most cases recurred within 1 year after initial surgery. 15 cases of tongue recurrence in situ, 45 cases of cervical lymph node recurrence, 17 cases of tongue in situ and cervical lymph node recurrence. Twelve out of 77 relapse patients refused further traumatic treatment and received only supportive care. The remaining 65 patients underwent surgery and / or radiotherapy.