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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 34(2)2009
  1. Private
  2. 研究紀要
  3. Acta medica Kinki University
  4. 34(2)2009

Treatment of hypopharyngeal cancer

https://kindai.repo.nii.ac.jp/records/10486
https://kindai.repo.nii.ac.jp/records/10486
d70d528c-d336-4ba3-b5d4-39e73204346d
名前 / ファイル ライセンス アクション
AA0050842X-20091200-0071.pdf AA0050842X-20091200-0071.pdf (755.7 kB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2010-06-01
タイトル
タイトル Treatment of hypopharyngeal cancer
言語 en
著者 Mori, Kazunori

× Mori, Kazunori

Mori, Kazunori

ja-Kana モリ, カズノリ

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言語
言語 eng
キーワード
主題 hypopharyngeal cancer, neck dissection, retropharyngeal lymph node, paratracheal lymph node, primary suture, laser debulking
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者所属(翻訳)
値 Department of Otolaryngology Kinki University, School of Medicine,
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 The Kinki University Medical Association
書誌情報 en : ACTA MEDICA KINKI UNIVERSITY

巻 34, 号 2, p. 71-82, 発行日 2009-12-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 To clarify the characteristics of hypopharyngeal cancer, data from both Kurume University and Kinki University were analyzed retrospectively. The results are as follows : (1) The number of cases has increased markedly ; (2) Relatively early cases currently accounts for 60%; (3) In T3/T4 cases, bilateral neck dissections are absolutely necessary, whereas in T1/T2 cases, neck dissection of the affected side should be performed ; (4) Dissection of the retropharyngeal and paratracheal lymph nodes is essential in T3/T4 cases ; (5) The current most important and serious problem is how distant metastasis can be controlled ; (6) Intensive medical treatment is necessary in adult diseases including cancer at other site. Based on these data and in consideration of quality of life of patients, the author has performed particular treatment strategies for more than fifteen years. For T3/T4 cases, laryngectomy and partial pharyngectomy are performed, followed by primary suture of the remaining hypopharyngeal membrane. The disease-specific three-year survival rate is 60%. For T1/T2 cases, a treatment modality employing curative irradiation is performed after debulking the primary tumorwith a CO_2, laser. The five-year local control rate, five-year larynx conservation rate, and five-year disease-specific survival rate are 92%, 92%, and 85%, respectively. Despite these treatment modalities, there has been no remarkable improvement in the treatment outcome ; however, the quality of life of patients with hypopharyngeal cancer was improved.
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