A clinical obsevations of the oropharyngeal carcinoma in our clinic.

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  • KATO Hisayuki
    Department of Otolaryngology, Fujita Health University, School of Medicine
  • IWATA Shigenobu
    Department of Otolaryngology, Fujita Health University, School of Medicine
  • SAKURAI Kazuo
    Department of Otolaryngology, Fujita Health University, School of Medicine
  • MORI Shigeki
    Department of Otolaryngology, Fujita Health University, School of Medicine
  • URANO Makoto
    Department of Otolaryngology, Fujita Health University, School of Medicine
  • KATO Sayuri
    Department of Otolaryngology, Fujita Health University, School of Medicine
  • TAKASU Akihiko
    Department of Otolaryngology, Fujita Health University, School of Medicine

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  • 当科における中咽頭癌の臨床的検討

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Abstract

37 patients with oropharyngeal cancer (30 males and 7 females) were treated in our clinic during the ten years from 1985 to 1994. Their mean age was 63.1 years old ranged from 38 to 84. They were classified in 3 of T1, 21 of T2, 9 of T3 and 4 of T4, and also in the stage clasificasions, stage I was one cases, stage II 14 cases, stage III 8 cases and stage IV 14 cases respectively. 5-year survival rate by stages was 0% for stage I, 36.5% for stage II, 65% for stage III and 34.4% for stage IV in all cases. Primary lesion death was the most high frequency of 50%. It was possible to control the primary lesion in T1 cases either radiotherapy or surgical treatment. In T2 cases, control of the primary lesion showed good result from the complementary operation rather than that of the non-surgical treatments. Carcinoma in the lateral wall is more effective than those in anterior and posterior wall and in superior wall by the radiotherapy. It was difficult to control the primary lesion by the radio-chemotherapy in T3 cases. From our data, if was no sensitive for radiation, We must be decide the surgery even in T1 and T2 cases. In T3 and T4 cases, it should be taken the functional reconstractive surgery following the component surgery with neck dissection after radiotherapy.

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