Treatment of hypopharyngeal cancer
スポンサーリンク
概要
- 論文の詳細を見る
To clarify the characteristics of hypopharyngeal cancer, data from both Kurume University and Kinki University were analyzed retrospectively. The results are as follows : (1) The number of cases has increased markedly ; (2) Relatively early cases currently accounts for 60％; (3) In T3/T4 cases, bilateral neck dissections are absolutely necessary, whereas in T1/T2 cases, neck dissection of the affected side should be performed ; (4) Dissection of the retropharyngeal and paratracheal lymph nodes is essential in T3/T4 cases ; (5) The current most important and serious problem is how distant metastasis can be controlled ; (6) Intensive medical treatment is necessary in adult diseases including cancer at other site. Based on these data and in consideration of quality of life of patients, the author has performed particular treatment strategies for more than fifteen years. For T3/T4 cases, laryngectomy and partial pharyngectomy are performed, followed by primary suture of the remaining hypopharyngeal membrane. The disease-specific three-year survival rate is 60％. For T1/T2 cases, a treatment modality employing curative irradiation is performed after debulking the primary tumorwith a CO_2, laser. The five-year local control rate, five-year larynx conservation rate, and five-year disease-specific survival rate are 92％, 92％, and 85％, respectively. Despite these treatment modalities, there has been no remarkable improvement in the treatment outcome ; however, the quality of life of patients with hypopharyngeal cancer was improved.
- The Kinki University Medical Associationの論文
The Kinki University Medical Association | 論文
- Indications of laparoscopic myomectomy and efficacy of preoperative GnRHa therapy
- Consciousness of body and mirror neuron system
- Effects of amino acid solution on changes in intraoperative body temperature of patients undergoing surgery for abdominal aortic aneurysm
- Hypersensitivity caused by suppression of descending inhibitory pathways following lumbar intrathecal injection of lidocaine in rats
- Recent advances in psoriasis with special reference to pathophysiology and therapeutics