目的 探讨经典型Kaposi肉瘤(KS)的放疗转归过程及近期疗效,以期提高对该病的认识及治疗水平.方法 回顾性分析经病理证实的51例经典型KS患者资料,总结其分布特点、放疗转归及近期疗效.结果 经典型KS的发病部位多位于肢体远端,上下肢均受累22例(43.1％),下肢受累16例(31.4％),上肢受累13例(25.5％),在放疗过程中KS的转归分为5个阶段:色素沉着期、局部肿胀期、溃烂渗出期、结痂期和愈合期.放疗的近期有效率为96.1％.结论 放疗是治疗KS的一种有效局部手段,但其转归过程不同于皮肤癌,有较独特的演变过程.%Objective To explore the transfer process and the short-term of radiotherapy in classic Kaposi's sarcoma.Methods In a retrospective analysis of 51 cases with classic Kaposi's sarcoma confirmed by pathology,the distribution characteristics of tumor,radiation treatment outcomes and the short-term curative effect were investigated.Results Classic Kaposi's sarcoma of Xinjiang province was located in the distal limb.There were 22 (43.1％) patients with both upper-and lower-extremity lesions,16 (31.4％)patients with lower-extremity lesions and 13 (25.5％) patients with both upper-extremity lesions.The development of outcome changes during the radiation treatment could be divided into 5 stages:the period of pigmentation,local swelling,decay,scabby and healing.The effective rate of radiation treatment was 96.1％.Conclusion Radiation therapy is an effective local treatment for classic Kaposi's sarcoma,but the development process is different from skin cancer and possesses relatively unique evolutionary process.
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