| 49例儿童鼻咽癌放射治疗远期疗效分析 |
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| 引用本文： | 郑玮薇,曹卡加,谢国丰,王成涛,胡丹,朱玉亮.49例儿童鼻咽癌放射治疗远期疗效分析[J].中国肿瘤,2009,18(11). |
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| 作者姓名： | 郑玮薇 曹卡加 谢国丰 王成涛 胡丹 朱玉亮 |
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| 作者单位： | 华南肿瘤学国家重点实验室,中山大学肿瘤防治中心,广东,广州,510060 |
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| 摘 要： | 目的]探讨儿童鼻咽癌放射治疗后的生存率和后遗症及影响预后的因素。方法]对49例7～14岁的儿童鼻咽癌患者采用单纯放射治疗或放射治疗加化疗。用SPSS13.0统计软件包的Kaplan-Meier法计算生存率,用Log-rank法对两组病人的生存率进行比较,应用COX模型进行多因素分析。结果]全组病人的1、3、5年生存率分别为85.7%、62.5%、53.2%。单因素分析显示,性别(P=0.028)、年龄(P=0.035)、治疗前影像学检查方法(P=0.043)和近期疗效(P=0.000)是影响儿童鼻咽癌预后的因素。多因素分析显示,近期疗效(P=0.028)是影响儿童鼻咽癌预后的因素。后遗症方面:目前生存的7例女性患者均出现月经减少或月经不规则;5例患者出现Ⅰ~Ⅱ度记忆力下降等。结论]近期疗效是影响儿童鼻咽癌预后的独立因素,儿童鼻咽癌放射治疗的后遗症应引起重视。
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| 关 键 词： | 鼻咽肿瘤 放射疗法 药物疗法 预后 后遗症 儿童 |
An Analysis of Long-term Response with Radiotherapy in 49 Cases with Nasopharyngeal Carcinoma in Children |
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| Institution: | ZHENG Wei-wei; CAO Ka-jia; XIE Guo-feng; et al. (State Key Laboratory of Oncology in South China; Cancer Center of Sun Yat-sen University; Guangzhou; 510060; China); |
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| Abstract: | Purpose] To investigate survival rate and sequelae of nasopharyngeal carcinoma (NPC) in children after radiotherapy and its prognostic factors. Methods] Forty-nine children with nasopharyngeal carcinoma received radiotherapy or radiotherapy plus chemotherapy. Survival rate were calculated with Kaplan-Meier method of SPSS 13.0, and analyzed with Log-rank method. Cox model was used to analyze the prognostic factors. Results] The 1-, 3-, 5-year overall survival rates were 85.7%, 62.5%, 53.2% respectively. T... |
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| Keywords: | nasopharyngeal neoplasms radiation therapy drug therapy prognosis sequelae children |
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