2年内远处转移鼻咽癌28例分析  

Analysis of 28 Cases Nasopharyngeal Carcinoma with Distant Metastasis Within 2 Years

作　　者：秦日昇[1] 

机构地区：[1]广西壮族自治区南溪山医院,桂林541002

出　　处：《肿瘤防治研究》2005年第9期585-586,共2页Cancer Research on Prevention and Treatment

摘　　要：目的探讨鼻咽癌放射治疗后2年内发生远处转移的影响因素及干预措施。方法统计2000年及2001年两年首程放射治疗(Ⅲ期、Ⅳa期加辅助化疗)的鼻咽癌303例,治疗后2年内发生远处转移28例,分析其影响因素及辅助化疗的作用。结果远处转移发生与N分期有关(P<0.05),加用辅助化疗的Ⅲ期、Ⅲa期病例远处转移发生率与单纯放疗的Ⅰ期、Ⅱ期病例相似(P>0.05)。结论辅助化疗能减少晚期鼻咽瘤患者远处转移发生率,晚期鼻咽癌病例应综合治疗。Objective To evaluate the influence factors and interfere ways of nasopharyngeal carcinoma occurred distant metastasis within 2years after completion of the radiation treatment. Methods Statisticses January 2000 to December 2001, 303 nasopharyngeal carcinoma cases treated by radiotherapy （the Ⅲ, Ⅳa stage patients plus chemotherapy） ,28 cases occurred distant metastasis within 2 years, analyze its influence factor and the effect of chemotherapy. Results The distant metastasis there are significance difference among N stage. But no significance difference between the llI, llI, stage patients plus chemo- therapy and the Ⅰ , Ⅱ stage patients with radiotherapy only （P〉0. 05）. Conclusion Chemotherapy adjunctive to radiotherapy is benefit to locally advanced patients, could reduce the rate of distant metastasis.

关 键 词：鼻咽肿瘤 远处转移 化疗 放疗 

分 类 号：R739.6[医药卫生—肿瘤]