摘要
目的：探讨Ⅱ和Ⅲ期肾细胞癌（下称肾癌）术后放疗的作用。方法：１９９０年１月至１９９５年５月收治Ⅱ和Ⅲ期肾癌３２例，全部行肾癌根治术，术后２～４周行放射治疗。采用ＡＰ－ＰＡ野照射，照射范围包括肾床、肾蒂、下腔静脉旁淋巴结区，剂量达４０ＧＹ时缩野避开脊髓照射１０～１６ＧＹ，总剂量５０～５６ＧＹ。结果：失访２例按死亡处理，随访率９４％，全组无复发病例。３、５年生存率分别是５６％（１８／３２）和４４％（８／１８），８７．５％死于肾癌远处转移。结论：术后放疗对Ⅱ和Ⅲ期肾癌病人有益处，但仍须寻找新的综合治疗方法以阻断远处转移。
Objective: To evaluate the role of adjuvant radiotherapy for Robsons stage and renal cell carcinoma after surgery Methods: From Jan, 1990 to May, 1995,32 patients with stage and renal cell carcinoma underwent radical nephrectomy All patients received radiotherapy in 2-4 weeks after surgery The AP-PA opposing fields included entire renal bed renal pedicle and inferior paracaval nodes with a dose of 40GY With shrinkling the fields away from spinal cord, 10-16GY was boosted Total dose was 50-56GY Results: 2 cases lost in follow-up were treated as death Follow-up rate was 94% No patient with recurrence was found during follow up 35 year survival rates were 56%(18/32) and 44%(8/18)respectively, 875% of the patients died of distant metastasis Conclusion: Postoperative radiotherapy in management of stage and renal cell carcinoma seems benefit, but, a newer combination therapy against distant metastasis is needed to improve the survival rate\=
出处
《广西医学》
CAS
1999年第4期608-610,共3页
Guangxi Medical Journal
关键词
肾细胞癌
肾癌
术后
放射疗法
Renal cell caninoma
Postoperative radiation
