Xia Ming, Xie Guang, Li Mei, Xu Fenglei, Zhang Liqiang, Liu Dayu
Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Jun;19(12):532-4.
To study the synthesis treatment of tonsillar cancer.
From 1987 to 1999, thirty four patients with tonsillar cancer were treated with surgery and postoperative radiotherapy. There were 21 males and 13 females and the ages ranged from 33-74. According to TNM staging system, there are 5 stage I , 6 stage 11, 9 stage II and 14 stage IV. According to conditions, the transoral approach, mandibular wing approach and transhyoid approach were choiced to resect the tumor. Surgical defect was repaired by myocutaneous flap, tongue flap, or softpalate flap.
The 5 year survival rate were 68.8% and local control 76.4%. Function of chewing, deglutition and speech were restored well.
The treatment of surgery and postoperative radiotherapy can improved the survival rate, local control rate and quality of life of patients.
研究扁桃体癌的综合治疗。
1987年至1999年，34例扁桃体癌患者接受手术及术后放疗。其中男性21例，女性13例，年龄33 - 74岁。根据TNM分期系统，I期5例，II期6例，III期9例，IV期14例。根据病情，选择经口入路、下颌翼入路及经舌骨入路切除肿瘤。手术缺损采用肌皮瓣、舌瓣或软腭瓣修复。
5年生存率为68.8%，局部控制率为76.4%。咀嚼、吞咽及言语功能恢复良好。
手术及术后放疗可提高患者的生存率、局部控制率及生活质量。
