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1983~1992年共收治腮腺癌患者95例。年龄9~72岁,病程7月~32年。主要病理类型为粘液表皮样癌、腺样囊性癌、恶性混合瘤、腺癌、腺泡细胞癌、乳头状囊腺癌、鳞癌。本组病例均采用外科手术治疗。对33例患者追加术后放疗。原发性病例的3、5、10年生存率分别为85.25%、81.40%、60.00%、复发性病例的3、5、10年生存率分别为76.47%、72.00%、50.00%。我们认为肿瘤类型、临床分期、首次手术成功率是影响腮腺癌预后的主要因素。
From 1983 to 1992, a total of 95 patients with parotid cancer were admitted. Aged 9 to 72 years old, duration of July to 32 years. The main pathological types of mucoepidermoid carcinoma, adenoid cystic carcinoma, malignant mixed tumor, adenocarcinoma, acinar cell carcinoma, papillary cystadenocarcinoma, squamous cell carcinoma. This group of patients were treated with surgery. 33 cases of patients with additional postoperative radiotherapy. The 3, 5 and 10-year survival rates of primary cases were 85.25%, 81.40% and 60.00%, respectively. The 3, 5 and 10-year survival rates of recurrent cases were 76.47% and 72 .00%, 50.00%. We believe that the type of tumor, clinical stage, the first surgical success rate is the main factor affecting the prognosis of parotid cancer.