论文部分内容阅读
目的 回顾性研究宫颈癌放射治疗后发生远处转移的临床特征。方法 对 1989年 3月～ 1998年 3月我院放射治疗宫颈癌Ⅱ、Ⅲ期患者共 114 6例进行随诊与回顾性分析。结果 发现 63例远处转移病例中 ,骨转移占 2 8.6% ,远处淋巴结转移占 2 7% ,肺转移占 2 3 .8% ,肝或腹腔转移占 11.1% ,其它组织转移占 15 .9% ,同时有两组以上器官转移 4例。 81%转移病例发生于放射治疗后2年内。再次放疗与化疗 ,但预后均差 ,84.1%患者在 2年内死亡。结论 对宫颈癌放疗后的患者应重视定期复查 ,尤其在疗后 2年内更应严密随诊 ,及早发现 ,积极治疗。
Objective To retrospectively study the clinical features of distant metastasis after radiotherapy of cervical cancer. Methods From March 1989 to March 1998, 1146 patients with stage II and III cervical cancer undergoing radiotherapy were followed up and retrospectively analyzed. RESULTS: Among 63 cases of distant metastasis, bone metastases accounted for 28.6%, distant lymph node metastases accounted for 27%, lung metastases accounted for 23.8%, liver or abdominal metastases accounted for 11.1%, and other tissue metastases accounted for 15.9 %, At the same time there are more than two groups of organ metastases in 4 cases. 81% of the cases of metastases occurred within 2 years after radiotherapy. Again radiotherapy and chemotherapy, but the prognosis were poor, 84.1% of patients died within 2 years. Conclusions Patients with cervical cancer after radiotherapy should pay close attention to regular review, especially within 2 years after treatment should be closely followed up, early detection and active treatment.