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分析鼻咽癌腋下淋巴结转移 44例 ,探讨其转移的规律及治疗方法。发现 44例有腋淋巴结转移患者中Ⅲ、Ⅳ期鼻咽癌 42例 ,占 95 .5 % ,下行型鼻咽癌 3 1例 ,占 70 .5 %。其 1、3、5年生存率分别为 5 6.8%、11.4%、6.8%。治疗方法以局部放疗、手术及化疗等综合治疗疗效较佳。认为鼻咽癌腋下淋巴结转移临床上较少见 ,主要出现在晚期下行型鼻咽癌病例 ,以综合治疗为主。
Forty-four cases of axillary lymph node metastasis of nasopharyngeal carcinoma were analyzed to investigate the regularity and treatment of metastasis. Forty-four patients with stage Ⅲ and Ⅳ nasopharyngeal carcinoma were found in 44 patients with axillary lymph node metastasis, accounting for 95.5% of the total, and 31 cases of descending nasopharyngeal carcinoma accounting for 70.5%. The 1, 3, 5-year survival rates were 5 6.8%, 11.4%, 6.8% respectively. Treatment of local radiotherapy, surgery and chemotherapy and other comprehensive treatment of better efficacy. That nasopharyngeal carcinoma axillary lymph node metastasis is relatively rare, mainly in the late cases of nasopharyngeal carcinoma, with comprehensive treatment.