Santoni R, Cionini L, D'Elia F, Scarselli G F, Branconi F, Savino L
Clin Radiol. 1987 Mar;38(2):203-6. doi: 10.1016/s0009-9260(87)80038-7.
Twenty nine patients with pure dysgerminoma of the ovary were referred to the Institute of Radiology of the University of Florence between 1960 and 1983. Twenty six patients received radiation therapy after surgery; three cases, classified as Stage IA, were not submitted to postoperative radiation therapy. Five patients relapsed 2 to 16 months after initial surgery, and three of them died because of their tumours. Sites of relapse were found to be outside the treated volume in four out of these five patients. The overall survival rate for this series is 90%. The survival rate seems to depend not only on the stage of the disease, but also on initial accurate staging and appropriate therapy. Criteria for selecting patients from whom post-operative radiotherapy may be withheld are discussed.
1960年至1983年间,29例卵巢单纯无性细胞瘤患者被转诊至佛罗伦萨大学放射研究所。26例患者术后接受了放射治疗;3例被分类为ⅠA期的患者未接受术后放射治疗。5例患者在初次手术后2至16个月复发,其中3例因肿瘤死亡。在这5例患者中,有4例复发部位在治疗区域外。该系列患者的总生存率为90%。生存率似乎不仅取决于疾病分期,还取决于初始准确分期和适当治疗。本文讨论了选择可免予术后放疗患者的标准。