Kubo K, Furukawa S, Fuchihata H, Nakamura M, Shimizutani K, Nishiyama K, Ikeda H, Masaki N
Dept. of Oral & Maxillofacial Radiology, Osaka Univ., Faculty of Dent.
Gan No Rinsho. 1989 Jan;35(2):264-9.
The cases of 36 patients referred for radiotherapy of the tongue after an excisional biopsy or after an inadequate excision of the tongue cancer have been reviewed. In 32 patients treated by radiotherapy, the actuarial survival rate at five years was 86%, and the local rate control, was 82%. The local control rate for those treated by interstitial radiotherapy (Int. RT) was successful in 12 out of 13 cases, and the rates for those treated by external radiotherapy (Ext. RT) followed by Int. RT, or by the intraoral cone technique with electron beams (Elec.), or by Ext. RT, or by Elec. followed by Int. RT, or by no additional therapy were 7 out of 9, 4 out of 5, 2 out of 4, 1 out of 1, and 2 out of 4, respectively. For such cases of cancer, subsequent interstitial radiotherapy is advisable to maintain local control.
对36例在切除活检后或舌癌切除不充分后转诊接受舌部放射治疗的患者病例进行了回顾。在32例接受放射治疗的患者中,5年精算生存率为86%,局部控制率为82%。接受组织间放疗(Int. RT)的患者中,13例有12例局部控制成功;接受外照射放疗(Ext. RT)后再行组织间放疗、或采用电子束口腔内锥形技术(Elec.)、或单纯外照射放疗、或电子束技术后再行组织间放疗、或未接受额外治疗的患者,局部控制率分别为9例中的7例、5例中的4例、4例中的2例、1例中的1例、4例中的2例。对于此类癌症病例,建议后续进行组织间放疗以维持局部控制。