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腮腺癌的治疗以手术为主,但单纯手术局部控制率仅20%~24%,加术后放疗可使局部控制率达到70%~74%。本文回顾分析1975~1989年手术加放射治疗的62例腮腺癌的结果及治疗失败的肿瘤类型。 男36例,女26例,中位年龄53岁(10~89岁)。首发52例(84%),复发10例(16%)。右侧36例(58%),左侧26例(42%)。面神经受侵32例(52%)。手术切缘肉眼观肿瘤残存3例(5%),镜下观肿瘤残存24例(39%),手术遗漏4例(6%),闭合(close)19例(31%),阴性或不明12例(20%)。按AJCC分期,T_1 21
Surgical treatment of parotid cancer mainly, but the local surgical control rate of only 20% to 24%, plus postoperative radiotherapy can make the local control rate of 70% to 74%. This article retrospectively analyzed the results of 62 cases of parotid gland cancer treated with radiotherapy and radiotherapy from 1975 to 1989 and the types of tumors that failed to be treated. 36 males and 26 females, the median age of 53 years (10 to 89 years old). The first episode of 52 cases (84%), recurrence in 10 cases (16%). The right 36 cases (58%), the left 26 cases (42%). Facial nerve invasion in 32 cases (52%). Surgical margins of the naked eye tumor remaining in 3 cases (5%), microscopic tumor remains in 24 cases (39%), surgical missed in 4 cases (6%), close 19 cases (31%), negative or unknown 12 Example (20%). By AJCC staging, T_1 21