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报道52例脊柱原发部位不明的转移癌,其中手术治疗为主32例,化疗为主12例,(153)Sm-EDTMP内放射为主6例,放疗为主2例。经综合治疗后,10例不全瘫痪者中,2例完全恢复,4例部分恢复,3例无恢复;4例完全瘫痪者无改变。44例随访1~5年,1年存活率为29.5%(13例),3年存活率为9.1%(4例),5年内全部死亡,平均生存期为8.4个月。文章详细讨论了脊柱原发部位不明的转移癌的诊断标准、发病率、来源判断及治疗等问题。
Fifty-two cases of metastatic carcinoma with unknown primary site of the spine were reported, of which 32 cases were mainly surgical treatment, and 12 cases were chemotherapy-based. (153) Sm-EDTMP radiation was mainly found in 6 cases, and radiotherapy was mainly in 2 cases. After comprehensive treatment, in 10 cases of incomplete deafness, 2 cases completely recovered, 4 cases partially recovered, and 3 cases did not recover; 4 cases were completely deaf without change. In 44 patients followed up for 1 to 5 years, the 1-year survival rate was 29.5% (13 cases), the 3-year survival rate was 9.1% (4 cases), all died within 5 years, and the average survival period was 8.4 months. . This article discusses in detail the diagnostic criteria, incidence, source judgement, and treatment of metastatic cancers of unknown origin in the spine.