摘要
本文总结我科从１９６４年１月到１９９１年６月诊治２４４例腮腺癌患者的治疗经验。男性１４７例，女性９７例，３０～６０岁占６２．３％。首发癌１９２例，其中临床Ⅰ、Ⅱ期占５１．６％，Ⅲ、Ⅳ期占４８．４％；复发癌５２例。全组均采用外科手术治疗，其中１０１例术后加用放疗，面神经被肿瘤累及切除８２例（３３．６％）。行颈清扫术或腮腺旁淋巴结切除术１８２例，全组颈淋巴结转移率为３２．４％。５、１０年生存率分别为７５％和５９．４％，死亡１１１例，死于局部复发占５５％。作者认为手术是治疗腮腺癌的主要手段，对临床晚期、病理分化差、手术姑息患者应加用术后放疗，以提高局部控制率；面神经被肿瘤累及应予切除；对颈部淋巴结肿大可疑有转移病例应行治疗性颈清术，对病理分化差患者应行选择性颈清术。病理类型、临床分期、是否复发癌及首次治疗是否彻底是影响预后的主要因素。
Abstract The experience of treatment on 244 patients with parotid cancer
was reported from January 1964 to June 1991.There were 147 males and 97 females,ranging in
age from 8 to 74,among which 192 cases were primary carcinoma (stage , was 516%,stage ,
was 484%) and 52 recurrence.All patients were treated by surgery,with 101 cases were added
radiotherapy postoperation.Involved by cancer in 82 cases,the facial nerve was excised (333%).
The neck dissection was performed in 182 cases and the metastasis rate of cervical lymph
nodes was 283%.The survival rate of 5 year,10 year was 75% and 594% respectively.In the
dead 111 cases,the local recurrence was 550%.Surgery was chief treatment for parotid
carcinoma.We suggest that postoperation radiotherapy should be given to patients of advanced
stage,pathologically poor differentiation and palliative operation;the facial nerve should be
excised if it was involved;therapeutic neck dissection should be performed on patients of
suspicious cervical lymph node metastasis;selective neck dissection should be performed on
patients with pathologically poor differentiation.The pathological type,clinical stage,recurrence
or not,and thorough excision or not were chief factors of prognosis.\=
出处
《耳鼻咽喉（头颈外科）》
1999年第3期150-153,共4页
Chinese Arch Otolaryngology-Head Neck Surg
