Byers R M
Laryngoscope. 1979 Apr;89(4):567-72. doi: 10.1288/00005537-197904000-00005.
The use of postoperative irradiation as an adjunctive measure for better control of local and regional disease after a surgical procedure has been used at the Anderson Hospital since approximately 1965. The common clinical setting occurs in those patients in whom, after surgical ablation of the tumor, there are microscopic foci of residual disease at the margins, perineural invasion, histologically a very poorly differentiated carcinoma, dermal lymphatic involvement, multiple nodes in the neck or very large nodes in which the tumor has broken through the nodal capsule and entered the connective tissue. We have been applying this criterion for the treatment of salivary gland malignancies, squamous carcinomas of the hypopharynx and supraglottic larynx, and all sites in the head and neck in which there was extensive cercical nodal metastasis. The results of this therapeutic approach will be reported and discussed.
自1965年左右以来，安德森医院一直将术后放疗作为一种辅助措施，用于在外科手术后更好地控制局部和区域疾病。常见的临床情况发生在那些患者身上，即肿瘤手术切除后，边缘有微小残留病灶、神经周围侵犯、组织学上为低分化癌、真皮淋巴管受累、颈部多个淋巴结或非常大的淋巴结，肿瘤已突破淋巴结包膜并进入结缔组织。我们一直在将这一标准应用于唾液腺恶性肿瘤、下咽和声门上喉鳞状细胞癌以及头颈部所有有广泛颈部淋巴结转移的部位的治疗。将报告和讨论这种治疗方法的结果。
