Modalities and problems in treatment of T1, T2 hypopharyngeal carcinoma

  • Tanaka Shinzo
    Department of Otolaryngology - Head & Neck Surgery, Graduate School of Medicine, Kyoto University
  • Asato Ryo
    Department of Otolaryngology - Head & Neck Surgery, Graduate School of Medicine, Kyoto University
  • Nagata Yasusi
    Department of Radiology, Graduate School of Medicine, Kyoto University
  • Hirano Shigeru
    Department of Otolaryngology - Head & Neck Surgery, Graduate School of Medicine, Kyoto University
  • Tamura Yoshihiro
    Department of Otolaryngology - Head & Neck Surgery, Graduate School of Medicine, Kyoto University
  • Ito Juichi
    Department of Otolaryngology - Head & Neck Surgery, Graduate School of Medicine, Kyoto University
  • Hiraoka Masahiro
    Department of Radiology, Graduate School of Medicine, Kyoto University

Bibliographic Information

Other Title
  • 下咽頭癌T1,T2例の治療とその問題点

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Description

The cases of 28 consecutive patients with T1, T2 hypopharyngeal carcinoma (HPC) treated in Kyoto University Hospital from 2000 to 2006 were reviewed. Radiotherapy (RT) was performed in 13 patients, surgery with conservation of the larynx (SCL) in 11 and laryngopharyngectomy with cervical esophagotomy in 4 patients. Local recurrence occurred in a patient of RT. There was the complication of persistent severe edema of the larynx in one patient with RT and serious swallowing disturbance in two patients with RT and SCL. Disease-specific 3- and 5-year survival rates were 96% and overall survival rate was 76%. One patient died of lymph node metastasis and three patients of other carcinomas. Both of RT and SCL showed satisfactory results as conservative treatment modalities for T1, T2 HPC. Problems were late complications after RT, swallowing disturbance due to RT or SCL and controls of regional lymph node metastasis and other carcinomas.

Journal

  • Toukeibu Gan

    Toukeibu Gan 33 (4), 476-478, 2007

    Japan Society for Head and Neck Cancer

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