Iashin N P, Mikhaĭlov G M
Vopr Onkol. 1979;25(2):52-5.
464 patients with the lower lip cancer were treated; stage I--in 292, stage II--in 150, stage III and IV--in 22 patients. The vast majority of patients in the stage I and II were given close focal roentgenotherapy on the primary focus. 123 Wanakh operations for the stage I revealed metastases in lymph nodes in 2 patients, 113 Wanakh operations for the stage II showed metastases in 9 cases. The clinical recovery for a 3-year period was noted in 99.4% of cases in stage I without the Wanakh surgery, for a 5-year period--in 92.7%. In the stage II without the surgery the clinical recovery for a 3-year period was noted in 93.8%, for up to 5 years--in 92.7%. In the stage I the Wanakh surgery should be denied, and in the stage II the combination therapy to a full extent is recommended.
对464例下唇癌患者进行了治疗;Ⅰ期292例,Ⅱ期150例,Ⅲ期和Ⅳ期22例。Ⅰ期和Ⅱ期的绝大多数患者对原发灶进行了近距离局部放射治疗。Ⅰ期123例瓦纳赫手术中有2例发现淋巴结转移,Ⅱ期113例瓦纳赫手术中有9例出现转移。Ⅰ期未进行瓦纳赫手术的患者3年临床治愈率为99.4%,5年为92.7%。Ⅱ期未手术患者3年临床治愈率为93.8%,5年为92.7%。Ⅰ期应放弃瓦纳赫手术,Ⅱ期建议充分采用联合治疗。