Kochegarov A A
Vopr Onkol. 1984;30(9):50-4.
The paper deals with an analysis of the results of treatment of 344 patients with cancer of the thoracic part of the esophagus. Out of those, 104 received surgical and combined treatment and 240 (inoperable cancer) were given radiotherapy alone or in combination with local hyperthermia, general chemotherapy or intratumoral iontophoresis of chemotherapeutic agents. The procedure after Dobromyslov-Torek proved to be insufficient in most of surgical cases because there were metastatic lesions below the diaphragm. A surgical procedure which takes care of metastases is suggested. Local hyperthermia potentiated the effect of radiation treatment. The immediate results of treatment improved after intratumoral sarcolysin iontophoresis was used in conjunction with radiation therapy.
本文对344例胸段食管癌患者的治疗结果进行了分析。其中,104例接受了手术及综合治疗,240例(无法手术的癌症患者)仅接受了放射治疗,或与局部热疗、全身化疗或化疗药物瘤内离子导入联合使用。在大多数手术病例中,Dobromyslov-Torek手术后的操作被证明是不够的,因为在横膈膜以下存在转移性病变。建议采用一种能处理转移灶的手术方法。局部热疗增强了放射治疗的效果。当瘤内溶肉瘤素离子导入与放射治疗联合使用后,治疗的近期效果有所改善。