鼻咽癌原發(fā)腫瘤體積與頸淋巴結轉移關系研究.pdf

1、華中科技大學碩士學位論文鼻咽癌原發(fā)腫瘤體積與頸淋巴結轉移關系研究姓名：潘魯申請學位級別：碩士專業(yè)：臨床腫瘤學指導教師：胡國清20060401蘭!型墊查蘭旦塑墾蘭墮堡主蘭些塑StudyofcorrelationofprimarytumorvolumeofNPCwiththemetastasisofcervicallymphnodesAbstract【ObjectivelToinvestigatethecorrelationofprimar

2、ytq_liTlorvolumeofNPCwiththerate，size，distributionofmetastaticcervicallymphnodesofNPC[MethodsJOnehundredandtwenty—eightpatientsreceivedCTenhancedscanning，beingused3dimensionalTreatmentPlanningSystem(TPS)tocalculatethevol

3、umeofprimarytumorofNPCandthediameterofmetastaticcervicallymphnodes[ResultsJ89patientshadlymphnodesmetastasisin128patientswithNPCRateoflymphnodesmetastasisWas695％RateoflymphnodesmetastasisWas474％，783％840％and733％fortheprim

4、arytunlorvolume一60鋤3(x2=P=O004)Forpatients們mP1～20鋤3thelymphnodes()was789％(71／89)comparedwith474％fP=0000)forthosewithaPTV≤20cm3RateofcervicallymphnodesmetastasisWas184％，63O％，68O％and474％forthediameterofits2allindifferentvo

5、lurne(P=0ooo)Nodaldistributionalratewere0inlevelIA，56％inlevelIB，966％inlevelII，573％inlevelIII，157％inlevelⅣ，191％inlevelV，O％inleveVland60％inlevelretropharyngealAlongwithprimarytumorvolumeincreasinglylevelllIWasthemorefreque

6、ntlyinvolvedareaTherestareas(II、Ⅳ、V、retropharyngeal)werenotpositivecorrelation【Conclusion】TherewasrelativebetweentheprimarytumorvolumeofNPCandcervicalLymphnodesmatastasissespeciallyinthesignificantiydifferencbbetweefiPTV

7、一20鋤3Atpresentthisstudyhasnotbeenreported，hence，itwillsupplyanewclueforthestudyofNPCmetastasisandprognosisinthefuture，moreoverhavepracticalvalueofclinicaplliance【KeywordsJNPC；Volumeoftumor；Lymphnodesmetastasis；Relativean