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1961~1981年,作者采用手术加放疗治疗19例儿童颅咽管瘤。男12例,女7例。17例白人,2例黑人。年龄3~16岁(中位8岁)。外科手术包括:完全切除6例,次全切除9例,活检术4例。12例病人术后放疗时为原发,7例为外科治疗后复发。复发的5例当初为完全切除、2例为次全切除。平均复发时间为16月。所有病例用~(60)Co外照射。从诊断到开始治疗的时间为30天(7~41天)。肿瘤量5200~6526cGy。平均5588cGy。5次/周、每次180~200cGy。治疗后定期随访,时间为8~28年,平均21年。无1例失访。评价指标包括疾病
From 1961 to 1981, the authors treated 19 cases of children with craniopharyngioma by surgery plus radiotherapy. There were 12 males and 7 females. 17 white, 2 black. Age 3 to 16 years (median 8 years old). Surgery includes: complete resection in 6 cases, subtotal resection in 9 cases, biopsy in 4 cases. Twelve patients were primary after radiotherapy and seven patients relapsed after surgical treatment. Five cases of recurrent had complete resection, two cases of subtotal resection. The average recurrence time was 16 months. All cases were irradiated with ~ (60) Co. The time from diagnosis to initiation of treatment is 30 days (7 to 41 days). Tumor volume 5200 ~ 6526cGy. Average 5588cGy. 5 times / week, each 180 ~ 200cGy. Regular follow-up after treatment, the time is 8 to 28 years, an average of 21 years. No one lost to follow up. Evaluation indicators include disease