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本文报导1963~1983年间47例外耳、中耳癌病例,对其预后因素进行分析,并提出一种分期法。男21例,女26例;平均年龄61.7岁;外耳道癌33例,中耳癌14例。既往学者们曾先后对各自所见少数病例,在病变范围、部位、淋巴转移、对周围组织的侵袭及组织学等方面,观察其影响预后因素,长期以来缺少统一切实的分期法。作者将47例患者的全身状态分类如下:Ⅰ,自主运动,无具体疾病;Ⅱ,能工作,但有具体疾病如高血压;Ⅲ,有全身疾病不能工作。并采纳了UICC分类法:T_1肿瘤局限在原发部位,即无面神经麻痹,X线检查无骨质破坏;T_2肿
This article reports 47 cases of extra-ear and middle ear cancer from 1963 to 1983, and analyzed their prognostic factors and proposed a staging method. There were 21 males and 26 females with a mean age of 61.7 years. There were 33 cases of external auditory canal cancer and 14 cases of middle ear cancer. Previous scholars have successively observed a few prognostic factors on the range, location, lymphatic metastasis, invasion to surrounding tissues and histology of the few cases they saw, and lacked a unified and practical staging method for a long time. The authors categorized the general condition of the 47 patients as follows: I. Autonomous exercise without specific disease; II. Can work but with specific diseases such as high blood pressure; III. Can not work with systemic disease. And adopted the UICC classification: T 1 tumor confined to the primary site, that is, no facial paralysis, X-ray examination without bone destruction; T 2 swollen