目的 探讨无法手术的原发性局部晚期鼻腔鼻窦胚胎性横纹肌肉瘤的多模式综合治疗.方法对l例无法手术的局部晚期鼻腔鼻窦胚胎性横纹肌肉瘤初治患者,采用术前同步放化疗→手术→术后同步放化疗→辅助化疗的多模式综合治疗,观察治疗效果、不良反应和生活质量情况.结果经多模式综合治疗后患者的症状、体征完全消失,局部肿瘤病灶接近完全缓解,不良反应可耐受,患者容貌恢复正常.随访至2011年3月,患者仍无病生存中,生活质量佳,可正常工作.结论无法手术的局部晚期鼻腔鼻窦胚胎性横纹肌肉瘤通过多模式综合治疗近期疗效好,症状显著缓解,生活质量提高,生存期延长.%Objective To investigate integrated multimodality comprehensive therapy for inoperable primary locally advanced embryonal rhabdomyosarcoma of the nasal cavity and paranasal sinus. Methods One newly diagnostic adolescent patient with inoperable locally advanced embryonal rhabdomyosarcoma of the nasal cavity and paranasal sinus was treated with integrated multimodality comprehensive therapy of preoperative concurrently chemoradiotherapy-+surgery operation-?postoperative concurrently chemoradiothera-py-?adjuvant chemotherapy. The therapeutic effect, adverse effect and quality of life were investigated. Results The symptom and physical sign of the patient was all disappear,and the local tumor nearly reached complete response after the treatment with tolerable adverse effects. The facial feature of the patient recovery absolutely normal again. Until March 2011, the patient was currently disease-free with very good quality of life and normal job. Conclusion The integrated multimodality comprehensive therapy for the patients with inoperable locally advanced embryonal rhabdomyosarcoma of the nasal cavity and paranasal sinus can obviously release the clinical symptom , protect the patient's feature, improve quality of life, and significantly increase the survival time.
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