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鼻咽癌放疗后颈部残留或复发挽救性手术治疗23例临床分析
引用本文:杨湘宁,陈万楷,潘智灵. 鼻咽癌放疗后颈部残留或复发挽救性手术治疗23例临床分析[J]. 实用癌症杂志, 2007, 22(4): 376-377
作者姓名:杨湘宁  陈万楷  潘智灵
作者单位:510080,广东药学院第一附属医院耳鼻咽喉科
基金项目:广州铁路集团公司科技开发项目
摘    要:目的观察鼻咽癌放疗后残留或复发颈部转移灶采用手术治疗的疗效及对相关问题进行探讨。方法对23例鼻咽癌患者放疗后残留或复发颈部转移灶进行手术治疗,术后随诊,切除标本送病理检查。结果3例患者手术治疗的5年生存率为52.2%,未发生严重的并发症。结论鼻咽癌患者放疗后颈淋巴结残留或复发者手术治疗的术式应采用根治性颈清扫术或区域性颈清扫术较合适。

关 键 词:鼻咽癌  残留和复发颈部转移灶  手术治疗
文章编号:1001-5930(2007)04-0376-02
修稿时间:2007-04-132007-06-01

Clinical Analysis of 23 Patients with Residual or Recurrent Node Disease after Radiotherapy for Nasopharyngeal Carcinoma Treated by Salvage Operation
YANG Xiang-ning,CHEN Wai-kai,PAN Zhi-ling. Clinical Analysis of 23 Patients with Residual or Recurrent Node Disease after Radiotherapy for Nasopharyngeal Carcinoma Treated by Salvage Operation[J]. The Practical Journal of Cancer, 2007, 22(4): 376-377
Authors:YANG Xiang-ning  CHEN Wai-kai  PAN Zhi-ling
Affiliation:The Dept. of Otorhinolaryngology The First Affiliated Hospital of Guangdong University of Pharmasy , Guangzhou , 510080
Abstract:Objective To study the efficacy and the correlative problems of surgical treatment of residual or recurrent node diseases of nasopharyngeal carcinoma after radiotherapy. Methods 23 cases of residual or recurrent node disease of nasopharyngeal carcinoma after radiotherapy were treated with operation and then followed. The resected specimens were studied pathologically. Results The 5-year survival rate was 52.2%. There was no severe complication related to operation. Conclusion The proper operative mode for the patients with residual or recurrent node disease of nasopharyngeal carcinoma after radiotherapy may be the radical or regional neck dissection.
Keywords:Nasopharyngeal carcinoma   Residual or recurrent cervical metastasis foci  Surgical treatment
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