当教室〔三重大学耳鼻咽喉科学教室〕20年間の口腔悪性腫瘍の臨床統計的観察 (三吉康郎教授開講20周年記念論文集)

概要

論文の詳細を見る
One hundred and fortynine patients with carcinoma of the oral cavity were treated at the Department of Otolaryngology, Mie University Hospital from 1961 to 1980. There were 80 cases of tongue cancer, 19 of cancer of the buccal mucosa, 9 of cancer of the gingiva, 7 of cancer of the lips. The average age of these patients was 57.4 years old; ninety-four (63%) were male and 55 (37%) were female. According to the T classification proposed by the UICC, 43 (28.9%) were classified as T1, 66 (44.3%) as T2, 31 (20.8%) as T3, and 6 (4.0%) as T4. Although there were no cases of distant metastasis, cervical lymphnodal metastasis was found in 45 (30%). Of all the patients, the 1-, 3- and 5-year survival rates were 81.6%, 64.5% and 48.9%, respectively.In the analyses of the cases of tongue cancer, the following results were obtained: as the principal method of treatment of the tongue cancer, surgery and/or irradiation were employed. Especially, in the last 10 years, irradiation was preferred as the initial treatment of this cancer. The 5-year survival rate of tongue cancer was 66.7% in T1, 61.9% in T2 and 10.0% in T3. In the present study, we recommended radiation therapy for early cases of tongue cancer and combined therapy of irradiation and surgery for advanced cases.
耳鼻咽喉科臨床学会の論文