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1955~1974年收治59例上颁窦鳞癌,男37例,女22例,年龄26~89岁,平均59.8岁。56例(95%)肿瘤分期属于T_3与T_4,即21/59(35.6%)为T_3(X线检查可见骨破坏,肿瘤侵及鼻腔或颊肌,眶骨破坏或眶下孔扩大但未侵及眼眶与眼球的软组织,或者虽有牙齿松动尚未侵入口腔);35/59(59.3%)为T_4,(肿瘤侵及面颊皮肤包括瘘管形成,侵及眼眶与眼球,有口腔癌瘘,或者肿瘤向后组筛窦、蝶窦或前额窦扩展)。治疗:所有病例均曾用~(60)钴作放射治疗,给予肿瘤治愈量,达6,500~7,500拉德,多数为7,000拉德。具体方法:每日一次,每周5次,在6~8周内完成疗程。47例(79.7%)单纯放疗(内T_316例,T_428例),9例(15.3%)手术加放疗(内T_3 4例,T_45例),余3例为放疗加
From 1955 to 1974, 59 cases of sinus squamous cell carcinoma were treated, including 37 males and 22 females, aged 26 to 89 years, with an average of 59.8 years. 56 cases (95%) were T_3 and T_4, 21/59 (35.6%) were T_3 (bone destruction was seen on X-ray examination, the tumor invaded the nasal cavity or buccal muscles, the destruction of the sacrum or the enlargement of the infraorbital hole but not invaded. And the soft tissues of the eyelids and eyeballs, or have not invaded the oral cavity despite tooth looseness; 35/59 (59.3%) T_4, (tumor invasion and cheek skin including fistula formation, invasive eyelids and eyeballs, oral cancer fistula, or tumor Posterior ethmoid sinus, sphenoid sinus or prefrontal sinus extension). Treatment: All the cases had been treated with ~(60)cobalt for radiation therapy and given a tumor cure amount of 6,500 to 7,500 rads, with a majority of 7,000 rads. Specific methods: once a day, 5 times a week, complete the course of treatment in 6 to 8 weeks. 47 cases (79.7%) were treated with radiotherapy alone (internal T_316 cases, T_428 cases), 9 cases (15.3%) received surgery plus radiotherapy (internal T_3 4 cases, T_45 cases), and the remaining 3 cases were radiotherapy plus