Radical Radiotheraphy Results of Supraglottic Carcinoma

성문상부암(聲門上部癌)의 근치적(根治的) 방사선치료(放射線治療) 성적(成績)

  • Kim G.E. (Dept. of Radiation Oncology, College of Medicine, Yonsei University) ;
  • Suh C.O. (Dept. of Radiation Oncology, College of Medicine, Yonsei University) ;
  • Kim B.S. (Yonsei Cancer Center, College of Medicine, Yonsei University) ;
  • Kim K.M. (Yonsei Cancer Center, College of Medicine, Yonsei University) ;
  • Hong W.P. (Dept. of Otolaryngology, College of Medicine, Yonsei University)
  • 김귀언 (연세대학교 의과대학 치료방사선과) ;
  • 서창옥 (연세대학교 의과대학 치료방사선과) ;
  • 김병수 (연세대학교 의과대학 연세암센터) ;
  • 김광문 (연세대학교 의과대학 연세암센터) ;
  • 홍원표 (연세대학교 의과대학 이비인후과학교실)
  • Published : 1985.10.01

Abstract

A total of eighty five cases with supraglottic carcinoma treated by radical radiotherapy in Yonsei Cancer Center between Jan. 1974 and Dec. 1980, was observed through retrospective analysis. This study is concerned wi th patients selection for irradiation alone or combined treatment with surgery. Emphasis is directed to the analysis of effectiveness of radical radiotherapy instead of partial laryngectomy in T-1, T-2 and early T-3 lesion. A satisfactory control of laryngeal disease and preservation of a normal voice ranging from 100% for $T_1N_0$ lesions, 61.1% for $T_2N_0$ to 50% for $T_3N_0$. But 47.1% of cases with node metastasis on admission had poor results to irradiation suggesting of necessicity of combined treatment. 5 year recurrence-free survivals was 43.3% in all cases with supraglottic carcinoma treated by irradiation alone, although it was 87.5% in T-1 and 51.8% in T-2.

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