RESUMO
Treatment of squamous-cell tracheal tumors was given to 85 patients. Surgery was carried out in 48 (56.5%), radical resection--22 (25.9%). Distant metastases detected preoperatively in 19 (22.4%) patients were an absolute contraindication for radical surgery. Combined therapy was received by 14 cases without any grave postoperative complications. Three- and five-year survival after combined and surgical treatment was 59.9 +/- 10.5 and 40.9 +/- 10.5%, respectively. Radiation was given to 48 (56.5%) patients. This group included 26 cases of palliative operations and exploratory laparatomy. Three- and five-year survival after radiation was 30.1 +/- 6.7 and 27.6 +/- 6.7%, respectively.
Assuntos
Carcinoma de Células Escamosas/terapia , Neoplasias da Traqueia/terapia , Adulto , Idoso , Carcinoma de Células Escamosas/radioterapia , Carcinoma de Células Escamosas/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos , Radioterapia Adjuvante , Estudos Retrospectivos , Análise de Sobrevida , Neoplasias da Traqueia/radioterapia , Neoplasias da Traqueia/cirurgia , Resultado do TratamentoRESUMO
Radiation as a method of treatment was carried out in 16 (25.0%) out of 64 patients with tracheal adenocystoma (radical dosage of 50-70 Gy (12) and palliative--40-48 Gy (4). The dosimetric profile consisted of the cervical, cervico-thoracic, thoracic and bifurcation sections of the trachea. Complete resorption of tumor was registered in 12, partial--3, no effect in 1 cases. Three-, five- and ten-year survival was 65.2 +/- 12.6; 55.9 +/- 13.5 and 10.4 +/- 13.1%, respectively.
Assuntos
Cistadenoma/radioterapia , Neoplasias da Traqueia/radioterapia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos , Radioterapia/métodos , Dosagem Radioterapêutica , Estudos Retrospectivos , Análise de Sobrevida , Resultado do TratamentoRESUMO
6,212 lung cancer patients have been examined and treated. The data on surgical and combined treatment of 2,702 patients have been analyzed. Postoperative complication incidence has dropped to 5.4% in recent years. End results have improved due to use of organ-saving, reconstructive and plastic procedures for the bronchi and trachea in conjunction with radiotherapy.