Clinical study of elderly head and neck cancer patients. Report of 14 cases of patients over 80 years old.:—Report of 14 cases of patients over 80 years old—

概要

論文の詳細を見る
Fourteen patients, 80 years of age and older, with head and neck cancer who had visited our clinic from May 1974 to September 1992, were clinically assessed. Ten of those patients had visited our clinic within the last five years. One patient had multiple heterochronic oral cancers (lower gingiva and cheek mucosa) . Nine were male and five were female. Five carcinomas arose in the cheek mucosa, three in the upper gingiva, two each in the lower gingiva, maxillary sinus, and tongue, and one in the submandibular gland. Fourteen cancers (thirteen patients) were histologically squamous cell carcinoma and the other was adenocarcinoma. Two carcinomas were classified as stage I, four as stage II, two as stage III, and seven as stage IV. Seven patients (eight carcinomas) received primarily surgical treatment, six patients received primarily radiotherapy, and one patient received only chemotherapy because of alcoholism. It was possible to perform radical treatment in the early stages, but advanced cases were difficult to treat by radical therapy. However, the cases that had received semi-radical therapy tended to take a good course. Severe complications did not occur in our treatment, but hypoproteinemia and anemia arose frequently. The one-year, three-year, and five-year cumulative survival rates determined by Kaplan-Meier's method were 68.6%, 54.9%, and 36.6%, respectively.
一般社団法人日本口腔腫瘍学会の論文