中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2008年
6期
432-434
,共3页
朱永学%钱水章%张凌%吴毅%嵇庆海
硃永學%錢水章%張凌%吳毅%嵇慶海
주영학%전수장%장릉%오의%혜경해
头颈部肿瘤%纤维瘤病,侵袭型%放射疗法%肿瘤复发,局部
頭頸部腫瘤%纖維瘤病,侵襲型%放射療法%腫瘤複髮,跼部
두경부종류%섬유류병,침습형%방사요법%종류복발,국부
Head and neck neoplasms%Fibromatosis,aggressive%Radiotherapy%Neoplasm recurrence,local
目的 探讨头颈部韧带样瘤手术及放疗等治疗方法的效果.方法 回顾性分析复旦大学肿瘤医院头颈外科1987-2002年期间收治的44例头颈部韧带样瘤患者的临床资料和随访情况,评估外科治疗和放疗的疗效.结果 根据患者病情分为3组:单纯手术组15例,均为术后病理检查显微镜下证实切缘均为阴性者,随访12-156个月,局部复发率26.7%(4/15).手术+术后补充放疗12例,均为术后肿瘤残留患者,其中显微镜下病理检查切缘阳性5例,肉眼可见肿瘤残留7例,随访时间16～164个月,均无复发;外院手术后复发再放疗组17例,放疗后肿瘤残留率23.5%(4/17),随访时间15～136个月,局部复发率17.6%(3/17).所有患者未发现远处转移,也没有与此病相关的死亡.结论 对于头颈部韧带样瘤,外科手术难以切除彻底,应尽可能地保留患者的外形与功能,提高患者的生存质量.术后须补允放疗,能取得满意疗效.对于初次手术复发的患者,再行放疗,也能获得较佳预后.
目的 探討頭頸部韌帶樣瘤手術及放療等治療方法的效果.方法 迴顧性分析複旦大學腫瘤醫院頭頸外科1987-2002年期間收治的44例頭頸部韌帶樣瘤患者的臨床資料和隨訪情況,評估外科治療和放療的療效.結果 根據患者病情分為3組:單純手術組15例,均為術後病理檢查顯微鏡下證實切緣均為陰性者,隨訪12-156箇月,跼部複髮率26.7%(4/15).手術+術後補充放療12例,均為術後腫瘤殘留患者,其中顯微鏡下病理檢查切緣暘性5例,肉眼可見腫瘤殘留7例,隨訪時間16～164箇月,均無複髮;外院手術後複髮再放療組17例,放療後腫瘤殘留率23.5%(4/17),隨訪時間15～136箇月,跼部複髮率17.6%(3/17).所有患者未髮現遠處轉移,也沒有與此病相關的死亡.結論 對于頭頸部韌帶樣瘤,外科手術難以切除徹底,應儘可能地保留患者的外形與功能,提高患者的生存質量.術後鬚補允放療,能取得滿意療效.對于初次手術複髮的患者,再行放療,也能穫得較佳預後.
목적 탐토두경부인대양류수술급방료등치료방법적효과.방법 회고성분석복단대학종류의원두경외과1987-2002년기간수치적44례두경부인대양류환자적림상자료화수방정황,평고외과치료화방료적료효.결과 근거환자병정분위3조:단순수술조15례,균위술후병리검사현미경하증실절연균위음성자,수방12-156개월,국부복발솔26.7%(4/15).수술+술후보충방료12례,균위술후종류잔류환자,기중현미경하병리검사절연양성5례,육안가견종류잔류7례,수방시간16～164개월,균무복발;외원수술후복발재방료조17례,방료후종류잔류솔23.5%(4/17),수방시간15～136개월,국부복발솔17.6%(3/17).소유환자미발현원처전이,야몰유여차병상관적사망.결론 대우두경부인대양류,외과수술난이절제철저,응진가능지보류환자적외형여공능,제고환자적생존질량.술후수보윤방료,능취득만의료효.대우초차수술복발적환자,재행방료,야능획득교가예후.
Objecfive To find out the suitable therapy for the patient of desmoid tumour in head and neck.Methods Foay-four patients with desmoid tumours of the head and neck treated at Cancer Hospital of Fudan University between 1987 and 2002 were identified from inpatient tumour database.Patients were classified into three groups:operation group(15 cases);operation+radiation group(12 cases);radiation group(17 cases).All patients were prospectively follwed.Clinieopathologic features and treatment modalities were evaluated.Results In the group of operation,four of operation group had recurrences 26.7%(4/15).In the group of radiation,three of radiation group had recurrences 17.6% (3/17).And the recurrence of operation+tradiation group Was 23.5%(4/17).No patient died of their disease.Conclusion For desmoid tumors of the head neck,operation+radiation was recommended,and the benefits of radiation therapy were demonstrated.
