浅层X线放射治疗基底细胞癌和鳞状细胞癌27例疗效分析

目的：评价浅层X射线治疗皮肤基底细胞癌（BCC）和鳞状细胞癌（SCC）的疗效。方法：回顾分析2014年6月至2017年7月在我院应用浅层X射线治疗的27例原发性BCC(14例)和SCC(13例)患者，所有患者均经过组织病理学确诊，因健康状况、年龄、皮损部位等原因不适用手术而选用浅层X线治疗。结果：27例患者的31处皮损均痊愈，受照总剂量为45.6-53.2 Gy，随访 2年 仅1例患者1处皮损复发。不良反应主要为放射性皮炎及皮损处的溃烂，皮损体积较大者多伴有疼痛，一般1个月内消失。结论：浅层X射线放射治疗SCC和BCC疗效好，复发率低，对因各种原因不适合手术治疗的患者，是较为理想的方法。

Efficacy of superficial X-ray in the treatment of 27 patients with basal and squamous cell carcinoma

Objective: To assess the efficacy of superficial X-ray therapy in the treatment of?basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Methods: The data of 14 patients with BCC and 13 with SCC diagnosed by biopsy and treated with superficial X-ray therapy in our hospital from June 2014 to July 2017 was analyzed retrospectively. Results: Thirty one lesions in 27 patients were disappeared. The total X-ray dose was 45.6-53.2 Gy. There was only one lesion in one SCC patient relapsed after 2 years follow-up. The adverse effects were radiodermatitis and ulceration that usually disappeared in 1 month. Conclusions: Superficial X-ray treatment is effective and has low recurrence in the treatment for BCC and SCC, which is an option for the patient who are not suitable for surgical intervention.