Of nasopharyngeal cancer salvage surgery.doc

 PAGE \* MERGEFORMAT 16 Of nasopharyngeal cancer salvage surgery Sensitive to radiotherapy of nasopharyngeal carcinoma to radiation therapy-based, over the years has proved the root rule of radiotherapy and radiation after the remnants of those losers, saving surgical treatment significantly better than re-irradiation. In this paper, to save surgical indications, surgical methods are reviewed. Sensitive to radiotherapy of nasopharyngeal carcinoma to radiation therapy-based, but often helpless in the following cases: ① the first time, after the remnants of radical radiotherapy were; ② recurrence after radiation therapy; ③ two-way treatment of recurrent or remnant hand; China Academy of Medical Sciences Cancer Hospital, Professor Tu Guiyi 60 years begun to explore the salvage of nasopharyngeal cancer surgery in 1988, first reported in the international surgical treatment of nasopharyngeal carcinoma with positive meaning in the article [1], stirred up at home and abroad academic community to further explore the nature of nose and throat surgery to save the enthusiasm [2-9]. Currently considered to save the nose throat surgery (including the primary tumor or neck radiation therapy failed to save the surgical treatment) is an effective treatment. [Nasopharyngeal cancer surgery to save the theoretical basis for] primary recurrence of nasopharyngeal carcinoma Radiotherapy Across two persons, only 25% of patients and effective [6], 5-year survival rate of 12% to 23% [10,11], and the radiation damage is relatively large; two-way radiation recurrence, three-way radiation therapy is not valid [10]. ① cervical lymph node metastasis of nasopharyngeal carcinoma after radiotherapy residual recurrence rate was 91% [1]; neck recurrence after radiotherapy 32% of patients with multiple lymph node metastasis, 70% of positive lymph nodes in the posterior triangle (along the nerve exists), 29% ~ 77.9% of the patients had extranodal invasion [12,13], neck, 2-way 5-year overall