Treatment Modality for Lymph Node Metastasis of the Elderly Patients with the Laryngeal Carcinoma

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  • Chijiwa Keiichi
    Department of Otolaryngology-Head and Neck Surgery, Kurume University
  • Umeno Tetsuyoshi
    Department of Otolaryngology-Head and Neck Surgery, Kurume University
  • Umeno Hirohito
    Department of Otolaryngology-Head and Neck Surgery, Kurume University
  • Mori Kazunori
    Department of Otolaryngology-Head and Neck Surgery, Kinki University
  • Nakashima Tadashi
    Department of Otolaryngology-Head and Neck Surgery, Kurume University

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  • 高齢喉頭癌患者のリンパ節転移への対応

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Abstract

To determine the treatment modality for lymph node metastasis advanced laryngeal carcinoma in the elderly, we reviewed the clinical records of 206 patients with advanced laryngeal carcinoma who received initial treatment at Kurume University Hospital between 1979 and 1998. The results were as follows : <BR>(1) Even with the elderly patients, bilateral neck dissection against advanced supraglottic carcinoma and unilateral neck dissection against advanced glottic carcinoma might be necessary.<BR>(2) In cases of preventative neck surgery, limited dissection of lymph node from the upper, middle and lower neck produced satisfactory results.<BR>(3) With patients older than 75 or with patients who have severe health problems, flexible treatment modality should be adopted; for example, single laryngectomy without any management of the neck might be satisfactory for such high-risk groups so that their quality of life (QOL) may be sustained.

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