上顎洞癌再発・転移例の検討

概要

論文の詳細を見る
Of the 33 cases of newly found squamous cell carcinomas in the maxillary sinus, evaluation was made of 16 patients who had recurrence or metastasis.1. All the cases in the age group of 40-49 years old had recurrences or metastases.2. Eleven of the 16 cases were of poorly differentiated squamous cell carcinoma.3. Two patients with T2 had metastasis to the lungs and one to the liver. Metastasis should always be sought even when the original lesion is well controlled.4. Recurrence or metastasis develops about 6 months after the primary therapy. One patient, however, had a metastasis to the liver after 3 years and 9 months. This case suggests the necessity for long-term follow-up.5. The therapy for recurrence was total resection of the maxillary sinus in 4 of the 5 patients with T4. The prognosis for recurrent cases was poor, and 5 of the 8 patients died.6. Of the 5 patients with metastasis to the cervical region, only one patient died.7. A therapeutic regimen with emphasis on functional and morphological preservation calls for a close follow-up over a long period.
耳鼻咽喉科臨床学会の論文