查詢結果分析
來源資料
相關文獻
- Comparison of Clinical Outcome in Hypopharyngeal Cancer Treated with Radiotherapy Alone or Surgery Combined with Adjuvant Radiotherapy-10 Years, Experience in Mackay Memorial Hospital
- Treatment of Advnced Hypopharyngeal Cancer--Comparison of Two Modalities
- 接受手術以及手術後放射線治療的子宮內膜癌預後的分析
- 直腸癌病人接受術後單獨放射線治療之治療結果及預後因子
- 下咽癌之治療--5年之經驗
- Free Transverse Colon Transfer for Pharyngoesophageal Reconstruction in Treating Hypopharyngeal Carcinoma: A Case Report
- Intraoperative Extracorporeal Irradiation and Re-Implantation in Treatment of Osteogenic Sarcoma--Two Cases Experience
- Postoperative Radiotherapy for Malignant Parotid Gland Tumors
- 以垂直式部分喉切除術治療放射線治療後復發之早期聲門癌的長期經驗
- 下咽癌術後放射治療併口服Phenytoin引發史帝文-強森症候群--病例報告
頁籤選單縮合
題 名 | Comparison of Clinical Outcome in Hypopharyngeal Cancer Treated with Radiotherapy Alone or Surgery Combined with Adjuvant Radiotherapy-10 Years, Experience in Mackay Memorial Hospital=下咽癌接受單獨性放射線治療或手術合併術後放射線治療之臨床結果比較--馬階醫院十年經驗 |
---|---|
作 者 | 王銘志; 呂宜興; 張國華; 賴允亮; 鍾昌宏; 吳孟浩; 陳裕仁; | 書刊名 | 放射治療與腫瘤學 |
卷 期 | 5:4 1998.12[民87.12] |
頁 次 | 頁253-259 |
分類號 | 416.879、416.879 |
關鍵詞 | 下咽癌; 放射線治療; 手術; Hypopharyngeal cancer; Radiotherapy; Surgery; |
語 文 | 英文(English) |
中文摘要 | 目的:針對下咽癌接受單獨性放射線治療或手術合併術後放射線治療,評估其治療結果 ,並分析組織學上之預後因子。 材料與方法:自 1987 年 1 月至 1997 年 12 月,在本院 接受單獨性放射線治療或手術合併術後放射線治療的 81 位下咽癌病患,作回溯性的分析, 其中男性占 79 位,女性 2 位,年齡介於 24 至 80 歲 (中間值 54)。 其腫瘤第一期至四 期分別為 0,3,22 及 56 位,這兩組病患之 T-- 期與 N-- 期分佈上並無明顯差異,其中 18 位病患接受單獨性放射線治療, 每天 1.8Gy,放射線治療之平均劑量為 63.9 Gy (介於 34.2 至 75.6 Gy),另外 63 位病患接受全喉切除術合併部分咽喉切除或食道切除術,這些 病患皆接受輔助性放射線治療,平均劑量為 60.4Gy( 介於 36 至 73.8Gy)。 結果:接受手 術合併術後放射線治療之病患的 5 年存活率為 33%,接受單獨性放射線治療病患的 5 年存 活率為 30%,這兩組存活率無明顯差異。 接受手術合併術後放射線治療之病患的 5 年局部 控制率為 52%, 而接受單獨性放射線治療病患的 5 年局部控制率為 40%,其有統計學上差 異 (p=0.015)。多因子分析確認神經侵犯與壞死為重要的預後因子。結論:手術合併術後放 射線治療比單獨性放射線治療有較好的局部控制率,但對存活率無明顯差異,神經侵犯與壞 死為有意義之預後因子。 |
英文摘要 | Purpose:To evaluate treatment results and analyze pathological prognostic factors in surgery plus postoperative radiotherapy and radiotherapy alone for hypopharyngeal cancer. Materials and Methods:This retrospective analysis is based on the clinical outcome of 81 patients with hypopharyngeal cancer treated with surgery plus adjuvant radiotherapy and radiotherapy alone from January 1987 to December 1997. There were 79 males and 2 females, between 24 and 80 years old (median:54). The numbers of patients in stages Ⅰ to Ⅳ were 0,3,22 and 56, respectively. There were no significant difference in T-and N-distributions between the two treatment groups. Radiotherapy alone was used in 18 patients with 1.8 Gy pen fraction per day to a mean total dose of 63.9 Gy (range 34.2 to 75.6 Gy). Surgical treatment for 63 patients consisted of total laryngectomy with partial or total pharyngectomy and esophagectomy when indicated. These patients received adjuvant radiotherapy to a mean dose of 60.4 Gy(rang 36 to 73.8 Gy). Results:The 5-year survival rates were 33% for patients treated with surgery plus adjuvant radiotherapy and 30% for patients treated with radiotherapy alone. There was no significant difference in survival between the two treatment groups. The local control rate at 5 years was 52% for patients treated with surgery plus adjuvant radiotherapy, compared with 40% for patients treated with radiotherapy alone with a significant difference (p=0.015). Multivariate analysis identified that perineural invasion and necrosis are the significant predictors of poorer survival. Conclusion:The combination of surgery plus radiotherapy results in a better locoregional control than radiotherapy alone, but dose not yield a better survival. Perineural invasion and necrosis are associated with poorer survival. |
本系統中英文摘要資訊取自各篇刊載內容。