宫颈癌锁骨上淋巴结转移的治疗——附50例疗效分析  

TREATMENT OF METASTATIC LESIONS IN SUPRACLAVICULAR LYMPH NODE FROM CARCINOMA OF CERVIX——AN ANALYSIS OF 50 CASES

作　　者：丁亚琴[1] 蔡树模[1] 王香娥[1] 

机构地区：[1]上海医科大学肿瘤医院

出　　处：《肿瘤》1991年第3期131-132,共2页Tumor

摘　　要：宫颈癌是最常见的女性生殖道恶性肿瘤,目前发病率仍占首位,放射治疗是治疗宫颈癌的主要手段,早期宫颈癌的疗效已达90％以上,但晚期宫颈癌的疗效仍不令人满意,其主要原因为局部复发及远处转移,在远处转移中,以锁骨上淋巴结转移最为多见。我院妇科治疗室,自1981年以来共收治50例宫颈癌锁骨上淋巴结转移病例。现报道如下。From March 1981 to September 1989, 57 Patients with carcinoma of cervix had me-tastatic lesions in supraclavicular lymph nodes constituted 3.78% of the total 1510 cases.Among the 50 treated cases, 94% of them were squamous cell carcinoma, 44% had singlemetastatic supraclavicular lymph node while 56% had also metastasized to other sites.All 50 patients were treated with radiation therapy.30-50 Gy/2-3wks of^(60)Co was deliver-ed to the supraclavicular lesion followed by 30Gy/2-3wks X-ray.33 patients were treatedby radiotherapy combined with chemotherapy. The 1-,2-,3-year survival rate in thisseries was 54. 2%, 25. 6% and9. 3%respectively. Patients that survived more tban 3ysarshad all been treated with radiotherapy plus chemotherapy,especially DDP-based chemo-therapy The authors believe that radiotherapy combined with DDP-based chemotherapymay improve the survival rate.

关 键 词：宫颈癌 锁骨上 淋巴结转移 

分 类 号：R737.330.5[医药卫生—肿瘤]