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[上皮瘤的治疗]

[Treatment of epitheliomas].

作者信息

Denisov L E, Kurdina M I

出版信息

Khirurgiia (Mosk). 1994 Mar(3):54-6.

PMID:8007618
Abstract

In a period of 6 years the authors had 615 patients with epitheliomas. Squamous cell carcinoma (SCC) was found in 22 of them, meta-typical carcinoma in 2, and basal cell carcinoma (BCC) in the remaining cases. The frequency of application and comparative efficacy of various methods of treatment were appraised. The surgical method was used most frequently--in 84.2% of patients. Cryodestruction prevailed (46.3%) among the surgical methods of epithelioma treatment. Its early results in BCC were favorable in 97% of cases. The frequency of recurrences and metastases was 0.5%. Surgical excision, applied in 31% of patients, was effective in all cases of BCC. In SCC surgical excision is performed in a complex with radiotherapy. The efficacy of combined treatment (surgery + radiotherapy) was about 100%. Generalization of the process was found in only one patient. The other methods of treatment are used much less frequently.

摘要

在6年的时间里,作者共收治了615例上皮瘤患者。其中22例为鳞状细胞癌(SCC),2例为异型癌,其余病例为基底细胞癌(BCC)。评估了各种治疗方法的应用频率和相对疗效。手术方法应用最为频繁——84.2%的患者采用该方法。在治疗上皮瘤的手术方法中,冷冻破坏占主导地位(46.3%)。其对基底细胞癌的早期治疗效果在97%的病例中良好。复发和转移的频率为0.5%。31%的患者采用手术切除,对所有基底细胞癌病例均有效。对于鳞状细胞癌,手术切除需与放疗联合进行。联合治疗(手术+放疗)的疗效约为100%。仅1例患者出现病情扩散。其他治疗方法的应用频率要低得多。

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