근원불명 전이성 경부암의 치료

Treatment of Metastatic Cervical Cancerous Nodes from an Unknown Primary Site

  • 김귀언 (연세대학교 의과대학 방사선과학교실, 연세암센터) ;
  • 서창옥 (연세대학교 의과대학 방사선과학교실, 연세암센터) ;
  • 박창윤 (연세대학교 의과대학 방사선과학교실, 연세암센터) ;
  • 박정수 (연세대학교 의과대학 외과학교실) ;
  • 민진식 (연세대학교 의과대학 외과학교실)
  • Kim G. E. (Dept. of Radiology, Yonsei University, Yonsei Cancer Center) ;
  • Suh C. O. (Dept. of Radiology, Yonsei University, Yonsei Cancer Center) ;
  • Park C. Y. (Dept. of Radiology, Yonsei University, Yonsei Cancer Center) ;
  • Park C. S. (Dept. of Surgery, Yonsei University) ;
  • Min J. S. (Dept. of Surgery, Yonsei University)
  • 발행 : 1984.06.01

초록

Guidelines for the optimal management of patients with cervical cancerous nodes from an unknown primary site, has not been yet settled. However. radical treatment has been advocated employing either a surgery, or radiotherapy, or a combination of the two in relation to the location, stage and histologic features of the nodes in the neck. Of 43 patients who presented with 'Cervical metastases from an unknown primary' since 1971, $31.2\%$ survived 3 years after adequate management. Combined modality with surgery and radiation showed more favorable treatment results: in local control rate, 3 year survival rates and the subsequent appearances of the contralateral side of neck node through the retrospective analysis. In 11 cases, the primary tumors became apparent later, carcinoma of the hypopharynx, being the most frequent site, rather than the nasopharynx.

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