頁籤選單縮合
題名 | 腮腺癌之治療--16例之分析=Treatment of Parotid Carcinoma--Analysis of 16 Cases |
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作者 | 呂宜興; 張克昌; 陳一豪; 徐銘燦; Leu, Yi-shing; Chang, Ko-chang; Chen, I-how; Shu, Min-tsan; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19970400 |
卷期 | 32:2 1997.04[民86.04] |
頁次 | 頁45-49 |
分類號 | 416.8 |
語文 | chi |
關鍵詞 | 腮腺癌; Parotid carcinoma; |
中文摘要 | 1987年7月至1994年6 月 ,共有 16例原發腮腺癌患者在本科接受完整治療及追蹤 ,男女各半,年齡分佈自 23 歲至 78 歲不等, 病理組織種類有 8 種,以黏液上皮樣癌最 多, 其臨床分期依照 1992 年 AJCC 的 TNM 系統分類: 第 1 期 4 例 (佔 25.0%), 第 2 期 5 例 (佔 31.2%),第 3 期 4 例 (佔 25.0%),第 4 期 3 例 (佔 18.8%)。治療方式以 手術切除為主, 而高惡性反的腮腺癌術後合併放射治療。 治療結果: 2 年存活率 l5/16(93.7%),5 年存活率 8/1l(72.7%)。所有病例局部復發率 25%,頸部復發率 12.5%, 發生時間前後不一,但患者接受補救手術後,預後不差。 |
英文摘要 | From 1987 to 1994, 16 patients with parotid carcinoma were diagnosed and treated in our department. Twenty-five percent of the 16 patients presented with stage-I disease, 31.2% with stage-II disease, 25% with stage-III disease, and 18.8% with stage-IV disease. The treatment modalities of choice are surgery and surgery combined with post-operative radiotherapy in the high grade malignancies. Overall survival rates were 93.7% at 2 years, and 72.7% at 5 years. Twenty-five percent of patients developed local recurrences and 12.5% developed neck recurrences. Most of the recurrences were treared by salvage operations with satisfactory outcome. |
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