| 鼻咽癌放射治疗后颈部淋巴结复发原因分析 |
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| 引用本文： | 顾文栋,冯炎.鼻咽癌放射治疗后颈部淋巴结复发原因分析[J].中华肿瘤防治杂志,2004,11(5):518-520. |
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| 作者姓名： | 顾文栋 冯炎 |
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| 作者单位： | 复旦大学附属肿瘤医院放射治疗科,上海,200032 |
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| 摘 要： | 目的 :探讨鼻咽癌放射治疗后颈部淋巴结复发原因及其特点。方法 :回顾性分析了 1994年 11月～ 2 0 0 1年 9月因鼻咽癌放射治疗后颈部淋巴结复发而行颈淋巴结清除的 69例患者的临床资料。结果 :鼻咽癌放疗后颈部淋巴结复发时间平均为 3 4 5个月( 6 5～ 2 42 5个月 ) ,其与治疗前N分期和照射剂量相关 ,联合化疗不能提高颈部淋巴结的控制率。结论 :鼻咽癌放疗后颈部淋巴结复发大多发生在 2年内 ,早期诊断和提高颈部照射剂量有可能提高颈部控制率 ,而联合化疗无效
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| 关 键 词： | 鼻咽肿瘤/放射疗法 辐射剂量 复发 颈 淋巴结 |
| 文章编号： | 1009-4571(2004)05-0518-03 |
| 修稿时间： | 2003年1月3日 |
Analysis of cervical lymph nodes recurrence after radiotherapy for nasopharyngeal carcinoma |
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| GU Wen-dong,FENG Yan.Analysis of cervical lymph nodes recurrence after radiotherapy for nasopharyngeal carcinoma[J].Chinese Journal of Cancer Prevention and Treatment,2004,11(5):518-520. |
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| Authors: | GU Wen-dong FENG Yan |
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| Institution: | GU Wen-dong,FENG Yan Department of Radiation Oncology,Cancer Hospital,Fudan University,Shanghai 200032,P.R.China |
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| Abstract: | OBJECTIVE:To analyze the reasons and characteristics of lymph nodes recurrence after radiotherapy for nasopharyngeal carcinoma.METHODS:From November 1994 to September 2001,sixty-nine patients received neck dissection due to lymph nodes recurrence after definitive radiotherapy.Retrospective analysis was performed.RESULTS:The mean interval between the end of radiotherapy and surgery was 34.5 months(6.5-242.5 months).N stage and the radiation dose were significantly prognostic factors in the statistic analysis.CONCLUSIONS:Most of the recurrence occurres in the first two years.Early diagnosis and higher radiation dose may increase control rate of cervical lymph nodes. |
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| Keywords: | nasopharyngeal neoplasms/radiotherapy radiation dosage recurrence neck lymph nodes |
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