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关于声门上癌的最佳治疗方法问题至今还有争议。为了评价保守性喉手术的有效性,作者复习了1966～1983年施行的79例声门上部分喉切除术病例。79例中,男55,女24,年龄10～79岁,除1例纤维肉瘤外,均为鳞状细胞癌。声门上鳞癌好发于会厌,其次为杓会厌襞和声门上其他部位,以早期喉癌(T_1、T_2)居多,Ⅲ期或Ⅳ期者仅24例。78例声门上鳞癌中,高分化癌5例,中度分化癌53例,低分化癌13例,分化情况不详者7例。声门上部分喉
The question of the best treatment for cancer on the glottis is still controversial. To evaluate the effectiveness of conservative laryngeal surgery, the authors reviewed 79 cases of supraglottic laryngectomy performed from 1966 to 1983. In 79 cases, male 55, female 24, aged 10 to 79 years old, except one case of fibrosarcoma, all squamous cell carcinoma. Glottic squamous cell carcinoma occurred in the epiglottis, followed by epiglottis and other parts of the glottis. Most of the early laryngeal cancers (T_1, T_2) were stage III and stage IV were only 24 cases. In 78 cases of supraglottic squamous cell carcinoma, 5 cases were well-differentiated carcinomas, 53 moderately differentiated carcinomas, 13 poorly-differentiated carcinomas, and 7 cases with unclear differentiation. Partial glottic larynx