论文部分内容阅读
目的探讨山东东部地区女性喉癌患者的临床特点。方法对22例女性喉癌患者资料进行回顾性分析,其中声门上型8例,声门型13例,声门下型1例;按2002年AJCC标准进行分期:Ⅰ期10例,Ⅱ期2例,Ⅲ期4例,Ⅳ期6例。行喉部分切除术14例,喉全切除术6例,同时行颈清扫术10例,术后放疗10例。单纯放疗2例。生存率采用直接法计算。结果行手术治疗的20例中,治疗后满3年者11例,失访2例,无瘤生存8例,3年直接生存率72.7%;治疗后满5年者6例,失访1例,无瘤生存5例,5年直接生存率83.3%;行单纯放射治疗的2例分别于治疗后9个月和1年死于复发。结论女性喉癌发病率较低,声门上型喉癌构成比相对较高,部分女性喉癌患者与吸烟有关,女性喉癌患者的多原发癌值得重视。
Objective To investigate the clinical features of female laryngeal cancer in eastern Shandong. Methods The data of 22 cases of laryngeal cancer in women were analyzed retrospectively, of which 8 cases were supraglottic, 13 cases were glottis and 1 case was subglottic. According to the 2002 AJCC criteria, stage Ⅰ was 10 and stage Ⅱ 2 Cases, 4 cases of stage Ⅲ, 6 cases of stage Ⅳ. Partial throat partial resection in 14 cases, total laryngectomy in 6 cases, simultaneous neck dissection in 10 cases, postoperative radiotherapy in 10 cases. Radiotherapy in 2 cases. Survival rate using the direct method of calculation. Results Among the 20 cases who underwent surgery, 11 cases were treated with 3 years of follow-up, 2 cases were lost to follow-up, 8 cases had no tumor, and the 3-year direct survival rate was 72.7%. After 5 years of treatment, 6 cases were lost and 1 case was lost to follow-up , 5 patients survived without tumor, and the 5-year direct survival rate was 83.3%. Two patients who underwent radiotherapy alone died of recurrence at 9 months and 1 year after treatment. Conclusions The incidence of laryngeal cancer in females is relatively low, and the composition ratio of supraglottic laryngeal cancer is relatively high. Some female laryngeal cancer patients are related to smoking. The multiple primary cancers in female laryngeal cancer deserve attention.