喉頭 類表皮癌

• 영문명: Epidermoid Carcinoma of the Larynx -Twenty-year Experience with 263 Cases-
• 발행기관: 대한두경부종양학회
• 저자명: 박윤규(Yoon Kyu Park) 유봉옥(Bong Ok Yoo) 설대위(David J Seel) 이영식(young Sik Lee) 천경두(Kyung Doo Chun)
• 간행물 정보: 『대한두경부종양학회지』제3권 제1호, 15~24쪽, 전체 10쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1987.09.30

영문 초록

This study is limited to epidermoid carcinoma arising in the larynx. The 623 patients in this series comprised 1.6% of all malignant neoplasms seen during the 20 -year period .from 196.5 to 1984; it comprised 13.2% of all cancers of the head and neck registered during this period. The male: female ratio was 11: 1, and the highest incidence was in the fifth decade of life. Analysis by anatomical site revealed that 51.7% were supraglottic, 36.1% glottic, and 6.8% subglottic in oriain. One - hundred eighty - nine(79%) were clinically Stage III or Stage IV lesions at the time of the first visit. Of the total of 263 cases, 113 refused treatment, 4 definite radiation for T1 lesion, 21 underwent palliative therapy only, and 125 underwent surgical management with int- ent to cure. This surgical category included 53 patients who had surgical treatment only and 72 who underwent combined therapy (preoperative radiation, postoperative radiation, or inductive chemotherapy followed by surgery and postoperative radiation). The surgical management vari- ed from partial laryngectomy to widefield laryngectomy and ipsilateral neck dissection. In 14.4% pathologically positive node or nodes were found in the clinically negative contralateral neck nedes. Such contralateral spread was most common in supraglottic site of origin (22.2%). Combined modality of management was compared to single therapy. Although results at three years showed no difference in determinate disease - free survival between patients treated by surgery only and those treated by surgery followed by postoperative radiation therapy. at 5 years a statistically significant difference emerged, only 36% of those receiving surgery alone surviving as compared to 65.4% in the surgery with radiation group.

목차

ABSTRACT

서론

관찰대상 및 방법

관찰결과

총괄 및 고안

결론

REFERENCES