当教室〔三重大学耳鼻咽喉科学教室〕における喉頭悪性腫瘍死亡例の検討 (三吉康郎教授開講20周年記念論文集)

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The authors reviewed 26 patients with laryngeal cancer who were treated in our clinic and died of the disease within 5 years after initial treatment in the period from 1961 to 1980 and analysed their therapeutic problems.Of the 26, 16 were classified as the supraglottic type, 5 as the glottic, 1 as the subglottic and 4 as the transglottic. The male to female ratio was 7.7:1. In 13 cases (50%), the initial treatment was thought to be carried out radically. Local recurrence after irradiation was controlled to a certain extent by total laryngectomy and metastasis to the cervical node after total laryngectomy was also treated by neck dissection. The average interval from initial treatment to death was 16.7 months.The main causes of poor results were thought to be the following:1) The lesion was more extended than was realized, 2) radiatian was unsuccessful in patients whose disease may have been curable by surgical treatment, 3) insufficient surgical field for the larynx and/or neck, 4) tumors were too advanced, 5) aged patients for whom radical treatment was not indicated, 6) patient's refusal of surgical treatment.
耳鼻咽喉科臨床学会の論文