Tsyganov A I
Ann Otolaryngol Chir Cervicofac. 1980 Jul-Aug;97(7-8):591-5.
At the present time there are two methods of treating cancer of the larynx: surgery and radiotherapy. Although surgery is often indicated after radiotherapy for a stage III laryngeal cancer, it should not be used systematically when the tumour seems to have disappeared or there is only a small remnant. In numerous cases this remnant disappears during the post-radiotherapy period. Radiotherapy is an effective means of treating cancer of the larynx. When there is chronic oedema or perichondritis after radiotherapy and there is suspicion of a relapse, laryngectomy should only be done after histological confirmation, even if this requires several biopsies. The pathogenesis of post-radiotherapy oedema is discussed.
手术和放疗。虽然对于III期喉癌放疗后常需进行手术,但当肿瘤似乎已消失或仅残留少量病灶时,不应一概而论地使用手术。在许多情况下,这种残留病灶在放疗后阶段会消失。放疗是治疗喉癌的一种有效手段。放疗后出现慢性水肿或软骨膜炎且怀疑复发时,即使需要多次活检进行组织学确认,也应仅在确认后才进行喉切除术。本文讨论了放疗后水肿的发病机制。