頭頚部癌肺転移に対する外科療法

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  • Surgical resection of pulmonary metastases from head and neck cancer.

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Thirty seven patients with carcinomas in head and neck underwent thoracotomies for pulmonary metastases. The pathological types of the 37 patients were as follows: thirty two were squamous cell carcinomas, four were adenoid cystic carcinomas and one was mucoepidermoid carcinoma. A five-year survival rate of all the patients was 28%, and that of the patients with squamous cell carcinomas was up to 32%. For a patient with squamous cell carcinoma in the head and neck, surgical treament of the metastases to the lung is justified when he satisfies the following criterias: (1) primary site is controlled, (2) there is no extrapulmonary metastatic site. (3) the patient is able to tolerate the operation, and (4) metastasic tumors are confined in one lobe of the lung. Neither the desease-free interval from the time of primary treatment to the first appearance of pulmonary metasatasis nor the number of the metastatic tumors is a consideration. We should pay attention to the chests of the patients with head and neck cancers to detect the pulmonary metastases as early as we can, because we may have a chance to salvage them by surgery.

収録刊行物

  • 頭頸部腫瘍

    頭頸部腫瘍 18 (2), 43-47, 1992

    日本頭頸部癌学会

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