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1
題名:PRIMARY TRACHEAL MALIGNANCY: OUR EXPERIENCE     (16點)
氣管原發惡性腫瘤:我們的經驗
著者:Weir-Chiang You(游惟強) ;Jian-Sheng Jan(詹建勝) ;Jin-Ching Lin(林進清) ;Yih-Chyang Weng(翁益強)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:氣管原發惡性腫瘤 ; 放射線治療 ; 預後因子 ; Tracheal malignancy ; Radiotherapy ; Prognostic factor
刊名:Therapeutic Radiology and Oncology
頁碼:27-34
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

且且: 氣管原發惡性腫瘤在臨床上比較少見, 其盛行率約是呼吸道腫瘤的0 . 2 - 0 . 5 % 。對於早期 的氣管腫瘤,手術治療是第一選擇D對於中晚期的病人,于術後放射線治療或是單純放射治療 是必要的,並且能提供不錯的治療效果。 材料自有注: 從1 9 8 5 年至2 0 0 0 年, 共有十二位氣管原發惡性腫瘤的病患在台中榮總接收治 療,其中七位是上皮癌, 三位是眼囊狀癌, 一位是黑色素癌, 一位是神經內分泌癌。所有結果 以Ka p抖1 a叩n 益星: 有八位病人接受放射線治療, 其中一位是接受緩和性放射治療, 十位病人的資料可供分 析。這些病人的中位存活期為3 3個月,第一年和第二年的存活率為7 0 % 和60 % ' 經過分析預 後因子,發現局部組織侵犯以及初始症狀期間長短等三因子為生存時間可能的顯著預後因子。 另外,局部組織侵犯以及初始症狀期問長短等二因子亦為無病生存期可能的顯著預後因子。局 部淋巴轉移以及腫瘤組織型態雖然對於預後有影響, 但是未達到顯著意義。 誼益: 放射線治療能是一種安全而有效的治療氣管原發惡性腫瘤的方式口由於原發性氣管惡性 腫瘤比較少,加上我們的病人數少, 統計學上的義意較小。這篇文章主要是分享我們的於治療 原發性氣管惡性腫瘤的經驗, 以及探討可能的預後因子。
Purpose : Tracheal malignancy was not often seen in clinical practice. Its prevalence was about 0.2-0.5% of all respiratory tract malignancies, with 1:100 ratio of tracheal to bronchial tumors in reported series. Prognosis of patients with tumor of the trachea remains poor. The treatment choice for early stage disease is surgery because extensive resection provides better control. For patients with advanced stage disease definitive radiotherapy has shown modest gain. Several studies have demonstrated the value of radiotherapy in controlling primary tumor in the trachea. Material and Method : From 1985 to 2000, there were twelve patients with primary tracheal malignancy found in Taichung Veterans General Hospital. Seven patients were squamous cell carcinoma, three were adenoid cystic carcinoma, one was melanoma and one was neuroendocrine carcinoma. Among them, two patients’ details were not available anymore. One died of surgical complication within two months after resection. Thus nine of ten evaluable patients entered into the analysis of possible prognostic factors for primary tracheal malignancy. Univariate analyses of prognostic factors were carried out by Kaplan-Meier log rank method. Results : Seven of ten evaluable patients received definitive radiotherapy as curative purpose and one for palliation. The estimated median survival time for all ten patients was 33 months (CI: 0~66 months), with the survival rate at one and two years being 70% and 60%. Local invasion and duration of initial symptoms were possible significant prognostic factors for poor survival. Besides, we also identified the same factors as the possible significant prognostic factors for disease-free survival time. Local lymph node involvement and histological type of cancer showed effects in both survival and disease-free survival but didn’t reach the significant level. Conclusion : From our experience, radiotherapy either as a curative or palliative purpose seems to be safe and effective for tracheal cancer. However, due to rarity of primary tracheal malignancy, there was small group in our series. We offered our experience of radiotherapy for tracheal cancer and discuss possible prognostic factors, although less statistic meanings.


    

本卷期目次
Therapeutic Radiology and Oncology
Primary Tracheal Malignancy: Our Experience / Weir-Chiang YouJian-Sheng JanJin-Ching LinYih-Chyang Weng
乳房乳管原位癌患者接受乳房保留手術合併放射線治療:預後因子分析 / 黃家俊劉幕台張東浩畢祖平
應用於放射治療之自動食道邊緣分割演算法 / 范佩華李宗其許靖涵
Spinal Cord Drop Metastasis of Intracranial Oligodendroglioma: A Case Report/ Shih-Tshung ChangWen-Shan Liu
Primary Central Nervous System Lymphoma: A Meta-Analysis Study / Cheng-Hong LiouMu-Tai LiuShi-Hai LTung-Hao ChangChu-Ping PiChao-Yuan HuangAi-Yih WangChih-Chieh Hsu
Recurrent Pigmented Villonodular Synovitis of Knee Treated with Surgery and Adjuvant Radiotherapy: A Case Report/ Yu-Chang LiuYu-Jen ChenYung-Chang LuChang-Hung Chung
Primary Central Nervous System Fibrosarcoma: Case Report and Literature Review / Forn-Chia LinJsung-Chia TsiaChang-Chuan SuChung-Ching ChioLi-Ching Lin
鼻咽癌使用強度調控放射治療影響耳下腺功能的因子/ 劉文山蘇茂昌辛宗翰李永康周希諴郭祥吉
Concurrent Weekly Cisplatin and Radiotherapy Plus Adjuvant Chemotherapy for Nasopharyngeal Cancer –A Preliminary Study / Chien-An ChenKou-Hwa ChangYi-Shing LeuJehn-Chuan LeeYuen-Liang LaiEu-Jun ChenChang-Hung ChungYu-Jen Chen
鼻咽癌使用強度調控放射治療影響耳下腺功能的因子/ 劉文山蘇茂昌辛宗翰李永康周希諴郭祥吉
乳房乳管原位癌患者接受乳房保留手術合併放射線治療:預後因子分析/ 黃家俊劉幕台張東浩畢祖平
PRIMARY TRACHEAL MALIGNANCY: OUR EXPERIENCE/ Weir-Chiang YouJian-Sheng JanJin-Ching LinYih-Chyang Weng
PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA: A META-ANALYSIS STUDY/ Cheng-Hong LiouMu-Tai LiuShi-Hai LiTung-Hao ChangChu-Ping PiChao-Yuan HuangAi-Yih WangChih-Chieh Hsu
應用於放射治療之自動食道邊緣分割演算法/ 范佩華李宗其許靖涵
RECURRENT PIGMENTED VILLONODULAR SYNOVITIS OF KNEE TREATED WITH SURGERY AND ADJUVANT RADIOTHERAPY: A CASE REPORT/ Yu-Chang LiuYu-Jen ChenYung-Chang LuChang-Hung Chung
PRIMARY CENTRAL NERVOUS SYSTEM FIBROSARCOMA: CASE REPORT AND LITERATURE REVIEW/ Forn-Chia LinJsung-Chia TsiaChang-Chuan SuChung-Ching ChioLi-Ching Lin
SPINAL CORD DROP METASTASIS OF INTRACRANIAL OLIGODENDROGLIOMA: A CASE REPORT/ Shih-Tshung ChangWen-Shan Liu
CONCURRENT WEEKLY CISPLATIN AND RADIOTHERAPY PLUS ADJUVANT CHEMOTHERAPY FOR NASOPHARYNGEAL CANCER-A PRELIMINARY STUDY/ Chien-An ChenKou-Hwa ChangYi-Shing LeuJehn-Chuan LeeYuen-Liang LaiEu-Jun ChenChang-Hung ChungYu-Jen Chen
 
   
 
   

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