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头颈部晚期癌累及颈动脉时可有四种对策:(1)非手术疗法,包括放疗,化疗或二者兼用。(2)剥皮法,从颈动脉壁上切除大部分肿瘤,遗留肉眼或镜下癌。(3)剥除肿瘤之后,再行组织内放疗治疗残余癌。据文献报导,这三种方法的局部复发率为46%,局部复发病例中,18%是在无远处转移的情况下因不能控制的颈部疾病死亡。(4)手术切除肿瘤及受累的颈动脉,伴或不伴颈动脉重建术。 1975年以来,作者们遇到12例头颈部鳞癌累及颈动脉分叉或颈内动脉者,均做了颈动脉切除术。为了彻底切除肿瘤及受累的颈动脉,手术时
There are four strategies for advanced cancer of the head and neck involving the carotid artery: (1) Non-surgical therapy, including radiotherapy, chemotherapy, or both. (2) Peeling method to remove most of the tumors from the carotid wall leaving behind macroscopic or microscopic cancer. (3) After the tumor was removed, intra-articular radiotherapy was performed to treat residual cancer. According to reports in the literature, the local recurrence rate of these three methods is 46%, and in local recurrence cases, 18% are deaths due to uncontrollable neck diseases without distant metastasis. (4) Surgical removal of the tumor and involved carotid artery with or without carotid reconstruction. Since 1975, the authors have encountered 12 cases of head and neck squamous cell carcinoma involving the carotid bifurcation or internal carotid artery, and all had undergone carotid resection. In order to completely remove the tumor and the affected carotid artery,