喉頭癌の臨床的並びに統計的観察

概要

論文の詳細を見る
Statistical observation on 103 cases of the laryngeal cancer consisted of 90 males and 13 females, admitted to the otorhinolaryngological clinic of University of Nagasaki between 1949 and 1962 were reported. 93 cases were treated with operative procedure, total laryngectomy with or without radical neck dissection. The youngest was 36 years old; the eldest was 79 while the peak in occurence was seen in sixth decade. Classification of oFFur cases according to site of cancer shows the following distribution : 38 supra- glottic, 19 glottis. 17 marginal, 9 subglottic, 9 tran- sglottic and 7 hypopharyngeal forms. The perfect curability was obtained in glottic and subglottic form. In this series, 96% of all patients complained hoarsness. Postoperative recurrence occured in 24 persons, in which 19 cases suffered from cervical lymph node recurrence. Concerning the development of speech after laryngectomy 22 cases have been able to use esop- hageal voice and 5 cases to speak with the aid of artificial larynx. 5 years survival rate was 52.4% and this result was better than that of other carcinoma in our clinic.