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自1978年2月~1992年2月共收治松果体肿瘤患者27例。年龄分布9~36岁,其中25岁以下23例(85.2%),男女之比为2:1。有3例经组织学证实,18例采用脑室分流术加术后放疗,9例行单纯放疗。3年、5年生存率分别为66.7%(18/27)和55.6%(15/27),主要死因是局部复发。因为手术治疗本病有较高的并发症和死亡率,虽然大多数肿瘤不能全切,但对放射线敏感。因此,在无法取得组织寻诊断时,可采用脑室分流术和术后放疗。
From February 1978 to February 1992, 27 patients with pineal tumors were treated. The age distribution ranged from 9 to 36 years, including 23 cases (25. 2%) below the age of 25, and the ratio between men and women was 2:1. Three cases were confirmed by histology, 18 cases were treated with shunts plus postoperative radiotherapy, and 9 cases were treated with radiotherapy alone. The 3-year and 5-year survival rates were 66.7% (18/27) and 55.6% (15/27), respectively. The main cause of death was local recurrence. Because of the high complications and mortality associated with surgical treatment of this disease, most tumors are not completely cut but sensitive to radiation. Therefore, shunting and postoperative radiotherapy can be used when no tissue search is available.