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840例脑星形细胞癌临床病理与预后的分析表明:该肿瘤是脑组织中最常见的肿瘤,高发年龄在21~50岁,10岁以下儿童少见。成人发生部位多在大脑半球,小孩多发生在脑干和小脑。病理分级:星形细胞瘤Ⅰ级84例;Ⅱ级425例;Ⅲ级265例;Ⅳ级66例。星形细胞瘤Ⅰ~Ⅱ级肿瘤界限不清楚,手术难以完全切除,Ⅲ~Ⅳ级肿瘤有一定界限,主瘤易于切除,术后加用放疗、化疗和中草药辅助治疗,其临床观察,星形细胞瘤Ⅰ级预后较好,Ⅱ~Ⅳ级预后较差。本组5年生存148例,生存率为17.6%,10年以上生存32例,生存率为3.9%。
The clinicopathological and prognostic analysis of 840 cases of astrocytic carcinoma showed that the tumor was the most common tumor in brain tissue, with a high incidence in 21-50 years old and rare in children under 10 years old. Most adult parts of the brain in the hemisphere, children occur in the brainstem and cerebellum. Pathological grade: Astrocytoma grade Ⅰ 84 cases; Ⅱ grade 425 cases; Ⅲ grade 265 cases; Ⅳ grade 66 cases. Grade Ⅰ ~ Ⅱ astrocytoma tumor boundaries are not clear, difficult to completely remove the surgery, Ⅲ ~ Ⅳ grade tumors have some boundaries, the main tumor is easy to remove, plus radiotherapy, chemotherapy and Chinese herbal medicine after adjuvant therapy, the clinical observation, the star The prognosis of grade 1 tumors is better, and the prognosis of grade Ⅱ ~ Ⅳ is worse. This group of 5-year survival 148 cases, the survival rate was 17.6%, 32 cases over 10 years survival rate was 3.9%.