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作者分析24例喉原位癌(1945～1961),8例斤始未治疗,8例先用手术治疗,8例先用放疗。早期接受治疗者,在病变消失及喉功能方面,其疗效均属良好。不论采用手术或放疗,治疗都应足够。经随访发现,喉原位癌如不治疗,可以变为明显的浸润性癌,则需作更广泛的切除。从达一分析,可以说原位癌实为早期癌,并不是不须急冶的“癌前期”病变,应依照癌病类型进行适当治疗。
The authors analyzed 24 cases of laryngeal carcinoma in situ (1945–1961), 8 cases were untreated, 8 cases were treated with surgery first, and 8 cases were treated with radiotherapy. Patients who received early treatment had good curative effects in terms of lesion disappearance and laryngeal function. Irrespective of surgery or radiotherapy, treatment should be sufficient. The follow-up found that laryngeal carcinoma in situ, if left untreated, can turn into an obvious invasive cancer, requiring more extensive resection. From Tatsuichi analysis, it can be said that cancer in situ is indeed an early stage cancer, not a “precancerous” lesion that does not require swiftness, and should be appropriately treated according to the type of cancer.