当科における聴器癌の臨床的検討

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  • Clinical analysis of carcinoma of the temporal bone in our department

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Fourteen patients who had treatment from 1996 to 2003 in our department were enrolled in this study. Analysis was made regarding the following perspectives: ages, gender, locations of tumor, histopathological diagnosis, chief complaints, the period from the onset of the disease to the first visit to our hospital, clinical stages, lymphatic metastasis, distant metastasis, operation procedures, radiation therapy, chemotherapy and prognosis. The fourteen patients comprised eight males and six females. Their ages ranged from 35 to 82 years old. The original sites of tumors were in the external ear canal in 10 cases and in the middle ear in four cases. Histopathological types were adenoid cystic carcinoma in one patient and squamous cell carcinoma in thirteen patients. Partial temporal bone dissection was performed in ten patients. Subtotal temporal bone dissection was performed in one patient and radical mastoidecomy in one patient. In the other two cases with apparent intracranial invasion, radical operation was not performed. The estimated five-year survival rates were 45% and 54% for all the patients and the patients treated with surgery, respectively. The analysis of the cases in which the disease recurred postoperatively showed the inadequacy of radicality of the operation. We concluded that appropriate preoperative evaluation of the disease and the choice of operative procedure are extremely important.

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