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眼睑基底细胞癌的伦琴软X线放射治疗

[Roentgen soft radiotherapy of eyelid basaliomas].

作者信息

Landthaler M, Hendel B, Schiele-Luftmann K, Braun-Falco O

出版信息

Hautarzt. 1983 Mar;34(3):118-22.

PMID:6853160
Abstract

Reported are the results of soft X-ray therapy of 237 patients with 245 basal cell carcinomas of the eye lids. The medial angle of the eye and the lower eye lid were mostly affected. Histologically in 62% solid basal cell carcinomas and in 14% sclerodermiform basal cell carcinomas could be diagnostized. By soft X-ray therapy 92% of all basal cell carcinomas could be healed. All recurrences were observed in the first 2 years following radiotherapy. They were relatively more frequent at the lateral angle of the eye. Recurrences occurred in 4.9% of female patients, and in 13.0% of male patients. In two thirds they may be due to elected conditions of radiotherapy; in one third the cause of recurrences are not known. The cosmetic result was good or excellent in 95% of patients during the first 2 years following radiotherapy. After more than 5 years this rate declined to 65%. A good functional result could be obtained in 88% of the patients.

摘要

报告了对237例患有245处眼睑基底细胞癌患者进行软X线治疗的结果。眼角内侧和下眼睑受影响最为常见。组织学上,62%为实体性基底细胞癌,14%为硬皮病样基底细胞癌。通过软X线治疗,92%的基底细胞癌可治愈。所有复发均在放疗后的头两年内观察到。它们在眼外角相对更常见。女性患者复发率为4.9%,男性患者为13.0%。其中三分之二可能归因于放疗的特定条件;三分之一复发原因不明。放疗后头两年,95%的患者美容效果良好或极佳。5年以上后,这一比例降至65%。88%的患者可获得良好的功能效果。

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