鼻腔鼻窦腺样囊性癌18例病例分析

目的：探讨鼻腔鼻窦腺样囊性癌的治疗方法及可能影响预后的因素。方法：回顾性分析18例患者的临床病理资料，其中4例放弃治疗，5例单纯行手术治疗，9例行手术治疗联合术后放化疗。结果：2年生存率为50．0％，其中3例因肿瘤侵犯颅内死亡，2例患者死于远处转移。结论：发生于鼻腔鼻窦的腺样囊性癌，应积极采取以手术为主的综合治疗，可提高患者的生存率。该肿瘤的预后主要取决于早发现、早治疗，越早诊治，疗效越好。

Analysis of 18 cases which is the nasal sinuses adenoid cystic carcinoma

Objective： To explore the treatment and possible prognostic factor of nasal sinuses adenoid cystic carcinoma. Method： Retrospectively analysed the records of 18 patients with complete clinical and pathological data,which including 4 patients given up treatment, 5 patients taken surgical treatment and 9 patients taken surgical treatment as well as radiotherapy and chemotherapy. Result：Fifty percent of the patients got 2-year survival and 3 cases of death due to intracranial tumor invasion and 2 patients died of the disease distant metastasis. Conclusion： If patients got Nasal sinuses adenoid cystic carcinoma, they should take comprehensive treatment based on surgery, in order to improve the survival rate. The prognosis depends on the tumor early detection and early treatment, the sooner the treatment, the better.