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1974年～1984年我科收治扁挑体癌148例,均经病理检查证实,治疗均以放疗为主。作者就其疗效,影响疗效因素及治疗失败原因进行分析。临床资料148例中,男91例、女57例.年龄19岁～75岁。临床表现有咽痛89例,咽不适或异物感61例,吞咽困难2例,发热1例。发生在左侧者77例,右侧63例,双侧8例。颈淋巴结N_0者36例,N_(1-3)者112例。未分化癌73例(49.3％),鳞癌60例(40.5％),难分型14例(9.4％),腺癌1例。按TNM分期:Ⅰ期1例,Ⅱ期25例(16％),Ⅲ期56例(37％)、Ⅵ期66例(44％)。全部病人都采用~(60)Co放疗为主,部份辅助化疗。原灶剂量45～80Gy。采用面颈联合大野对照射,当达35～40Gy时缩野并避开
From 1974 to 1984, our department received 148 cases of flatbite cancer, all of which were confirmed by pathological examination. The treatment was based on radiotherapy. The authors analyzed the efficacy, the factors affecting efficacy, and the causes of treatment failure. Clinical data of 148 cases, 91 males and 57 females. Age 19 to 75 years old. There were 89 cases of sore throat, 61 cases of pharynx discomfort or foreign body sensation, 2 cases of dysphagia, and 1 case of fever. There were 77 cases on the left, 63 cases on the right, and 8 cases on both sides. There were 36 cases of cervical lymph node N_0 and 112 cases of N_(1-3). There were 73 undifferentiated cancers (49.3%), 60 squamous cell carcinomas (40.5%), 14 difficult cases (9.4%), and 1 adenocarcinoma. According to TNM staging, there were 1 case in stage I, 25 cases in stage II (16%), 56 cases in stage III (37%), and 66 cases (44%) in stage VI. All patients were treated with ~(60)Co radiotherapy with partial adjuvant chemotherapy. The original stove dose 45 ~ 80Gy. Using the neck and neck joint Ohno radiation, shrinking and avoiding when reaching 35 ~ 40Gy