题名 |
Retrospective Study of the Cancer of Maxillary Sinus |
并列篇名 |
上頷竇癌回溯性探討 |
作者 |
陳祥霖(H. L. Chen);蘇文勇(W. Y. Su) |
关键词 | |
期刊名称 |
Journal of Medical Sciences |
卷期/出版年月 |
5卷3期(1984 / 06 / 01) |
页次 |
1873 - 1880 |
内容语文 |
英文 |
中文摘要 |
上頷竇癌是僅次於鼻咽癌及喉癌的頭頸部癌,約占惡性腫瘤百分之一;上呼吸道腫瘤的百分之三,且占鼻竇癌的百分之八十五,不論近年來外科手術、放射治療、化學治療及免疫治療如何進展,上頷竇癌的治癒率仍舊偏低,主要因為甚難早期發現,而多半發現時已為末期腫瘤。本篇自1965年至1978年三軍總醫院耳鼻喉科收集65例上頷竇癌,採用AJC(1976)的TNM系統分類,並依症狀、病理組織、治療方法、5年存活率加以探討。以患鼻塞者占大多數(34/65),次為鼻出血(20/65);組織病理學以上皮細胞癌占70.7%,次為腺癌12.3%;治療方式以放射治療單獨者占51例,合併手術者12例,再合併化學治療者3例。5年存活率T1T2優於T3T4,以治療方式歸納:放射療法T1T2 75%(3/4)而T3T4占17.9%(8/46);合併外科切除者T1T2無,T3T4 25%(3/12);合併手術、化學療法及放射治療者T1T2無,T3T4占66.6%(2/3),我們認為合併治療優於單項療法。 |
英文摘要 |
This paper deals with 65 cases of maxillary sinus malignancies from 1965 to 1978 with minimum follow-up for 5 years. We adopted TNM system (AJC 1976) for classification. Thirty-four out of 65 cases were found of nasal obstruction (52.3%) as the most common symptoms and epistaxis was the second (20/65). On examination, 61 cases were classified as T3, T4 and remaining 4 cases were T1, T2. Histopathologically 46 cases (70.7%) were found to be epidermoid carcinoma, and 8 cases were adenocarcinoma. The prognosis of T1, T2 cases was superior to that of the T3, T4 with a ratio of 4:1 for 5 year survival by radiotherapy; 0.25% (3/12) by two combined therapy; O: 66.6% (2/3) by triple combined therapy. We concluded that combined use of surgery, radiotherapy and chemotherapy was better than single modality alone. |
主题分类 |
醫藥衛生 >
醫藥衛生綜合 |