摘要
目的回顾性分析原发性肺恶性淋巴瘤的治疗效果及其病理学特点与临床的关系。材料与方法上海医科大学肿瘤医院１９７０年～１９９０年收治的１０例原发性肺恶性淋巴瘤。全部病例均经手术切除后病理证实。除１例外，均作术后放疗和化疗。放疗范围包括肿瘤床、纵隔和同侧肺门，剂量２０～４５Ｇｙ。化疗方案均为ＣＯＰ（环磷酰胺、长春新碱、强的松）。结果１例生存１年，３例生存３年，６例生存超过５年。中位生存３年，５年生存率６０％。结论对中度恶性肺淋巴瘤不必作全肺切除，但术后须用放疗和化疗。
Purpose To analyze the survival status of patients with primary pulmonary lymphoma treated with surgery followed by radiotherapy and chemotherapy and its clinical pathological behaviors.Materials and Methods Ten cases of primary pulmonary lymphomas have been treated in the Cancer Hospital of Shanghai Medical University from 1970 to 1990. All patients were resected surgically followed by radiotherapy and chemotherapy except one. Radiation fields covered the primary tumor ,mediastinum and ipsilateral hilus. The COP regimen of chemotherapy was used.Results One patient died one year and three patients died three years after treatment and six patients still survived for five years .Conclusion Whole lung resection is unnecessary but the postoperative radiotherapy and chemotherapy should be considered for the primary pulmonary lymphoma with intermediate grade cancer.
出处
《中华放射肿瘤学杂志》
CSCD
北大核心
1998年第2期75-77,共3页
Chinese Journal of Radiation Oncology
关键词
肺肿瘤
放射疗法
药物疗法
淋巴瘤
Lung neoplasms/radiotherapy Lung neoplasms/drug therapy Lymphoma/radiotherapy Lymphoma/drug therapy
