Farina A T, Alderman S J, Carella R J
Postgrad Med. 1978 Feb;63(2):117-23. doi: 10.1080/00325481.1978.11714756.
Treatment of carcinoma of the lung to cure or even to prolong survival time to a satisfactory degree is not yet a reality. For squamous cell carcinoma confined to the lung, radical surgery offers the best possibility of cure. When surgery is not feasible in such a case for other than technical reasons (eg, poor general condition of the patient), radical (megavoltage) radiotherapy offers a good possibility of cure. For anaplastic or oat cell carcinoma confined to the lung, cure by surgery or radiotherapy is less likely and there is little advantage of one or the other of these modalities. Once metastasis has occurred, surgery is largely precluded and radiotherapy becomes a measure of last resort that offers a good possibility of relief of distressing symptoms and some hope of prolonging worthwhile life.
治愈肺癌或甚至将生存时间延长至令人满意的程度,目前尚未实现。对于局限于肺部的鳞状细胞癌,根治性手术提供了最佳的治愈可能性。当因技术原因以外的其他因素(例如患者的一般状况较差)而无法进行手术时,根治性(兆伏级)放疗提供了良好的治愈可能性。对于局限于肺部的间变性或燕麦细胞癌,通过手术或放疗治愈的可能性较小,而且这两种治疗方式的优势不大。一旦发生转移,手术基本上就无法进行了,放疗就成为了最后的手段,它有可能缓解令人痛苦的症状,并带来延长有意义生命的一些希望。