Bujko K
Zakładu Radioterapii II Centrum Onkologii--Instytutu im. M. Skłodowskiej-Curie, Warszawie.
Otolaryngol Pol. 1993;47(2):103-8.
This is the analysis of 151 NO-stage patients with squamous cell carcinoma of supraglottic larynx (110 cases), tonsil (19 cases) and base of tongue (22 cases) treated with definitive irradiation between 1970-1981. In the great majority of patients elective irradiation to upper and midjugular neck nodes was given. Orthovoltage irradiation received 74 patients, Co-60--77 patients. Analysis of failures showed high effectiveness of elective neck nodes irradiation. Neck nodes failures with primary controlled have been observed in 4% of patients outside limits of irradiation field. Indications to elective treatment are discussed.
这是对1970年至1981年间接受根治性放疗的151例声门上型喉鳞状细胞癌(110例)、扁桃体癌(19例)和舌根癌(22例)的NO期患者的分析。绝大多数患者接受了对上颈和中颈淋巴结的选择性放疗。74例患者接受了深部X线放疗,77例患者接受了钴-60放疗。失败分析显示选择性颈部淋巴结放疗具有很高的有效性。在照射野范围之外的患者中,有4%观察到原发灶得到控制但颈部淋巴结出现了复发。文中还讨论了选择性治疗的指征。