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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1985;28(4): 438-45. |
Clinical Study on Laryngeal Cancer - Evaluation of Treatment Result - |
Kwang Hyun Kim, MD1, and Chan Il Park, MD2 |
1;Department of Otolaryngology, 2;Therapeutic Radiology, College of Medicine, Seoul National University, Seoul, Korea |
喉頭癌 臨床的 硏究 - 治療成績에 관한 考察 - |
金光顯1 · 朴贊一2 |
서울大學校 醫科大學 耳鼻咽喉科學敎室1;治療放射線科學敎室2; |
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ABSTRACT |
Treatment results of 186 laryngeal cancer patients were analysed in Seoul National University Hospital from Jan. 1979 to Dec. 1983. 1) Supraglottic region was most predominant as 49.5%, glottic 37%, subglottic 6.5% and transglottic 7.0%. 2) Advanced cases such as stage III or IV were 74.2% of the patients. 3) Rate of cervical metastasis according to T-stage was 20.5% in
T2 stage, 49.3% in T3 stage and 64.5% in T4 stage. In whole, cervical metastasis was observed 39.8% of the patients. 4) Cure rate with minimal follow-up of 1 year by curative radiotherapy including salvage operation was 95.0% in stage I, 77.3% in stage II, 34.6% in stage III and 10.0% in stage IV laryngeal cancers. 5) Cure rate by primary surgery with postoperative radiotherapy was 80% in stage II, 71.4% in stage III, and 30.8% in stage IV. 6) In cases of cervical metastasis, cure rate was decreased markedly to 19.1% in whole. Surgery was considered to be the better method of treatment compared to radiotherapy.
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