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原发灶不明的颈淋巴结转移瘤(作者译)

[Cervical-lymph node metastasis of unknown primary tumour (author's transl)].

作者信息

Geiger C, Sauer R

出版信息

Laryngol Rhinol Otol (Stuttg). 1978 Sep;57(9):844-50.

PMID:745489
Abstract

The therapeutical results of 39 patients with cervical lymph node metastasis of unknown primary tumour are presented. 34 patients received radiotherapy, 2 chemotherapy, and in 2 cases the metastasis was only excised. In 22 patients the radiotherapy consisted of homogenic irradiation of the neck, in 12 patients the area of tumour manifestation was irradiated with a dosis ranging from 4000 to 6000 rad. The cumulative survival rate of all the patients was 64% after one year and 30% after 4 years. Ninety one per cent of the patients who were without symptoms after the therapy, survived this time interval. All patients without therapeutical success died. The median survival time of all patients was 20 months. In 21 patients the primary tumour was found later. In 13 cases (62%) the tumour was located in the head and neck region. In 7 patients the histology of the tumour had to be changed.

摘要

本文报告了39例原发肿瘤不明的颈部淋巴结转移患者的治疗结果。34例患者接受了放疗,2例接受了化疗,2例仅切除了转移灶。22例患者接受了颈部的均匀照射,12例患者对肿瘤表现区域进行了4000至6000拉德剂量的照射。所有患者一年后的累积生存率为64%,四年后为30%。治疗后无症状的患者中有91%在这段时间内存活。所有治疗未成功的患者均死亡。所有患者的中位生存时间为20个月。21例患者后来发现了原发肿瘤。13例(62%)肿瘤位于头颈部区域。7例患者的肿瘤组织学类型发生了改变。

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