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目的为了探讨颌下腺癌预后与病理分型、治疗方法和临床分期的关系。方法对我院1980年~1995年住院治疗经病理证实为从颌下腺癌患者36例进行了回顾性临床分析。结果此类患者腺样囊性病、粘液表皮样癌的预后较混合瘤恶变、腺癌和未分化癌为佳;综合治疗组较单纯手术组、放疗或化疗组为佳;临床Ⅰ、Ⅱ期较Ⅲ、Ⅳ期好;结论早期采用以手术为主的综合治疗是提高生存率、降低局部复发率的有效措施。
Objective To explore the relationship between prognosis and pathological type, treatment and clinical stage in submandibular adenocarcinoma. Methods A retrospective clinical analysis of 36 cases of submandibular adenocarcinoma admitted to our hospital from 1980 to 1995 confirmed by pathology was performed. Results The prognosis of adenoid cystic disease and mucoepidermoid carcinoma was better than that of malignant mixed tumor, adenocarcinoma and undifferentiated carcinoma. The comprehensive treatment group was better than the simple operation group, radiotherapy or chemotherapy group. The clinical stage Ⅰ and Ⅱ Ⅲ, Ⅳ period is good; Conclusion The early use of surgery-based comprehensive treatment is an effective measure to improve the survival rate and reduce the local recurrence rate.