王绿化 余子豪 钱图南 刘新帆 100021 北京，中国医学科学院中国协和医科大学肿瘤研究所肿瘤医院 中华肿瘤杂志 1999 0 21 6


    关键词：肛门肿瘤/放射疗法 期刊 zhzlzz 0 临床应用 fur -->


    

【摘要】 目的 分析早期肛门癌的放射治疗结果。方法 27例T_1～2 N₀ M₀ 期肛门癌患者接受了单纯放射治疗，其中7例盆腔野加局部野，20例局部野照射。结果 总的5年生存率为79.1%，18例(66.7%)患者保留了肛门功能。7例局部复发，1例腹股沟淋巴结复发，5例经补救治疗后获控制。结论 早期肛门癌放射治疗可以达到与根治术相同的治愈率，能使大约2/3的患者保存肛门功能。放疗复发患者可以行手术或放疗补救治疗。

Radiotherapy forearly anal cancer: a report of 27 cases

WANG Lhua, YU Zihao, QIAN Tunan, et al. Cancer Istitute (Hospital),Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021

【Abstract】 Objective To evaluate theresults of radiotherapy for early stage anal cancer.Methods During 1960through 1993, 27 patients with stage T_1～2 N₀ anal cancer weretreated by radiotherapy alone. Seven cases received pelvic irradiation plus local fieldboost, 20 cases received local field irradiation alone. Kaplan-Meier method was used insurvival analysis.Results The overall 5-year survival rate in thisseries of patients was 79.1%. Eighteen of the 27 cases had their anal functions preserved.Local recurrence occurred in 7 cases and regional lymph node metastasis in one case. Fiveof them were salvaged, two by surgery and three by irradiation.Conclusion Radiotherapyalone for early anal cancer is effective. Anal function is preserved in about two-thirdsof the patients so treated. Local treatment failure can be salvaged by surgery orradiotherapy.

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