上顎癌の治療成績 : 3年治癒とその治癒に影響する臨床的,病理組織学的因子について

概要

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In this study, we evaluated 39 patients with maxillary carcinoma who were treated in our Hospital from July, 1971 to February, 1978. The patients who were also treated during the same period but died of other diseases were excluded from present study.Twenty-six of them are alive over three years. The factors which may have influences on the result of our treatment are summerized as follows:1.The prognosis of the patients under 49 years of age was worse than that of the patients over 50. The prognosis of male patients was worse than that of female.2. The posterior wall destruction of the maxillary sinus had no apparent influences for the prognosis of the patients.3. The excellent prognosis was obtained in the group of patients whose lymphocytes count, total protein, A/G, and α2-globulin had returned within normal range postoperatively.4. In respect of irradiation dose, the patients irradiated less than 3, 000 rads showed excellent cure rate. The group of patients who were treated with immunotherapy combined with radiotherapy had excellent prognosis.5. There was no significant correlation between the histological type and prognosis of the patients.6. The excellent prognosis was obtained in the patients with small round cell infiltration in their stromas. Those with fibrosis in their stromas had poor prognosis.