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鼻旁窦癌。一项前瞻性初步研究的结果。

Carcinoma of the paranasal sinuses. Results of a prospective pilot study.

作者信息

Knegt P P, de Jong P C, van Andel J G, de Boer M F, Eykenboom W, van der Schans E

出版信息

Cancer. 1985 Jul 1;56(1):57-62. doi: 10.1002/1097-0142(19850701)56:1<57::aid-cncr2820560110>3.0.co;2-#.

DOI:10.1002/1097-0142(19850701)56:1<57::aid-cncr2820560110>3.0.co;2-#
PMID:4005793
Abstract

Sixty patients with paranasal sinus cancer were treated from January 1976 until July 1981 according to a standard protocol in which surgery is combined with a low dose of irradiation and a topically applied cytostatic drug. The local control rate was 65%. Mutilation was clearly reduced. The actuarial 2-year and 5-year survival rate was 76% and 65%, respectively. The actuarial 5-year survival rate for squamous cell carcinoma and undifferentiated carcinoma of the maxillary sinus was 52%. For adenocarcinoma of the ethmoid sinus the actuarial 5-year survival rate was 100%. The results of this prospective pilot study suggest that it may be possible to achieve better results with less aggressive treatment.

摘要

1976年1月至1981年7月期间,根据一项标准方案对60例鼻窦癌患者进行了治疗,该方案将手术与低剂量放疗及局部应用细胞抑制药物相结合。局部控制率为65%。致残率明显降低。精算2年和5年生存率分别为76%和65%。上颌窦鳞状细胞癌和未分化癌的精算5年生存率为52%。筛窦腺癌的精算5年生存率为100%。这项前瞻性初步研究的结果表明,采用侵入性较小的治疗方法可能会取得更好的效果。

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引用本文的文献

1
Nasal cheek flap in ethmoidal and skull base tumour surgery: results and complications.鼻颊瓣在筛窦和颅底肿瘤手术中的应用:结果与并发症
Acta Otorhinolaryngol Ital. 2005 Feb;25(1):23-9.
2
The treatment of advanced sinonasal malignancies with pre-operative intra-arterial cisplatin and concurrent radiation.采用术前动脉内顺铂化疗联合同步放疗治疗晚期鼻窦恶性肿瘤。
J Neurooncol. 2005 Mar;72(1):67-75. doi: 10.1007/s11060-004-2712-0.
3
Paranasal sinus cancer: caveats and controversies.鼻窦癌:注意事项与争议
World J Surg. 2003 Jul;27(7):849-55. doi: 10.1007/s00268-003-7111-8.
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HPV infections in benign and malignant sinonasal lesions.良性和恶性鼻窦病变中的人乳头瘤病毒感染
J Clin Pathol. 2003 Mar;56(3):174-81. doi: 10.1136/jcp.56.3.174.
5
Prognostic significance of epidermal growth factor receptor in squamous cell carcinoma of the maxillary sinus.表皮生长因子受体在上颌窦鳞状细胞癌中的预后意义
Eur Arch Otorhinolaryngol. 1993;249(8):478-81. doi: 10.1007/BF00168859.
6
A correlation of argyrophilic nucleolar organizer regions with prognoses in patients with maxillary sinus squamous cell carcinoma.
Eur Arch Otorhinolaryngol. 1994;251(4):229-32. doi: 10.1007/BF00628429.
7
Cell-mediated immunity is enhanced by cytostatic drugs continuously released at the site of antigenic stimulation.在抗原刺激部位持续释放的细胞生长抑制剂可增强细胞介导的免疫。
Cancer Immunol Immunother. 1989;28(2):131-5. doi: 10.1007/BF00199113.