Analysis of patients with lung metastasis from head and neck cancers.

概要

論文の詳細を見る
In our ORL clinic during the past 11 years (1976-1986) we saw 417 patients with head and neck cancers, 32 of whom developed lung metastases.1) Metastasis was most common in patients with carcinoma of the nasopharynx, tongue, oral cavity, hypopharynx and major salivary glands. Adenoid cystic carcinoma was the most frequent histological diagnosis.2) The progression of the lesions of adenoid cystic carcinoma was found to be gradual, even in patients with metastasis. Therefore their survival periods were relatively long.3) Longer survival periods were noted in patients who received some treatment for their metastases than in those without any treatment.4) Radiotherapy and chemotherapy for metastatic lesions resulted in longer survival periods than did surgical excision alone.5) The choice and performance of therapy for these metastatic cases should be individualized by a joint conference of radiologist, chest surgeon and otolaryngologist.
耳鼻咽喉科臨床学会の論文