Cancer of the nasal cavity
Cancer of the nasal cavity
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鼻腔癌
作者：
A. Bosch;L. Vallecillo;Z. Frías
本文报告了15年来连续40例鼻腔癌的经验。男性人数超过女性，比例为5比3。年龄35 ~ 88岁，中位年龄67岁。表皮样癌占78%。在这些患者中，从幼年开始吸烟是一个明显的习惯。吸烟史的中位数为51年。大多数病变在疾病的晚期被诊断，58%的病例为T3病变。区域淋巴结转移不常见;仅12%的患者在入院时出现淋巴结;另外5%的患者在随访期间出现转移性淋巴结。总体5年生存率为56%。T1 N 0病变患者的生存率为91%。放射治疗是85%病例的治疗选择。这些患者的5年生存率为50%。放射治疗是手术后挽救复发的另一种方法。鼻腔肿瘤的特殊性值得与副鼻窦肿瘤分开评价。
The experience with 40 consecutive cases of cancer of the nasal cavity seen over a period of 15 years is presented. Males outnumbered females in a ratio of 5 to 3. Age ranged from 35 to 88 years, and the median age was 67 years. Epidermoid carcinoma accounted for 78% of the cases. Smoking from early age was a noticeable habit among these patients. The median length of smoking history was 51 years. Most lesions were diagnosed in an advanced stage of the disease, 58% of the cases being T3 lesions. Regional lymph nodes metastases were infrequent; only 12% of the patients presented nodes on admission; another 5% developed metastatic nodes during the follow‐up period. An overall 5‐year survival of 56% was obtained. The survival of cases with T1N0 lesions was 91%. Radiation therapy was the treatment of choice employed in 85% of the cases. A 5‐year survival of 50% was obtained in these patients. Irradiation offers an additional means of salvaging recurrences after surgery. The special characteristics of tumors of the nasal cavity merit the evaluation of such lesions separately from tumors of the paranasal sinuses.