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964~1985年收治复发性宫颈癌137例,其中根治术后复发73例,首选经典放疗法64例。本组患者再治前经病理诊断者73例,治疗期获病理确认者47例,影像诊断8例,另9例是依据肿块、疼痛加重、或加下肢肿大等诊为复发。复发癌灶位中央(子宫或阴道)的66例,在盆壁出现者28例,中央及盆壁均有癌者24例,肺、锁上区或骨骼癌转移19例。再治疗方法根据个别病例经认真研究后制定。以放疗或加中药治疗者92例;插管化疗(大多经动脉插管化疗)26例;手术处理者13例均为放疗后复发者;化疗加放疗6例。137例再治疗后,随诊5~28年,随诊率为96.4%。生存5年或以上者56例均有病理诊断。全组的5年生存率为40.9%,13例复发癌经手术治疗5年生存达53.8%,无癌生存最长1例有28年余。
From September64 to 1985, 137 cases of recurrent cervical cancer were treated, of which 73 cases were recurred after radical operation, and 64 cases were the first choice of classical radiotherapy. The group of patients before re-treatment pathological diagnosis of 73 cases, the treatment of pathological confirmed by 47 cases, 8 cases of imaging diagnosis, the other 9 cases are based on mass, pain, or lower extremity swollen for the diagnosis of recurrence. There were 66 cases of recurrent foci (uterus or vagina) in the pelvis, 28 cases in the pelvis, 24 cases of cancer in the center and pelvic wall, and 19 cases of metastasis in lung, locked area or skeletal cancer. Re-treatment according to individual cases after careful study to develop. There were 92 cases treated with radiotherapy or traditional Chinese medicine; 26 cases received intubation chemotherapy (mostly arterial intubation chemotherapy); 13 cases treated by surgery were recurrence after radiotherapy; 6 cases were treated with chemotherapy and radiotherapy. 137 cases of re-treatment, followed up for 5 to 28 years, the follow-up rate was 96.4%. 56 cases survived for 5 years or more had pathological diagnosis. The 5-year overall survival rate was 40.9%, 13 cases of recurrent cancer by 5-year survival of 53.8%, cancer-free survival of 1 case more than 28 years.