Radiation Oncology Journal

The Korean Society for Radiation Oncology (대한방사선종양학회)
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Treatment Results of Hypopharyngeal Carcinoma

하인두암의 방사선치료 성적

  • Lee Chang Gul (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Loh John J.K. (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Ryu Sam Youl (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Park Kyung Ran (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Suh Chang Ok (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Kim Gew Earn (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Hong Won Pyo (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Byung Soo (Yonsei Cancer Center)
  • 이창걸 (연세대학교 의과대학 치료방사선과학교실) ;
  • 노준규 (연세대학교 의과대학 치료방사선과학교실) ;
  • 류삼열 (연세대학교 의과대학 치료방사선과학교실) ;
  • 박경란 (연세대학교 의과대학 치료방사선과학교실) ;
  • 서창옥 (연세대학교 의과대학 치료방사선과학교실) ;
  • 김귀언 (연세대학교 의과대학 치료방사선과학교실) ;
  • 홍원표 (연세대학교 의과대학 이비인후과학교실) ;
  • 김병수 (연세암센터)
  • Published : 1988.06.01
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Abstract

A rerospective review of fifty patients with carcinoma of hypopharynx treated with $RT{\pm}surgery$ was studied for eleven-year period from 1974 to 1984. Of the 50 patients,46 were pyriform sinus in origin, 4 were posterior pharyngeal wall. Eighty-eight percent of patients were locoregionally advanced(stage III, IV) and 78% of patients presented conical lymphadenopathy. 5-year disease-free survival rate of the pyriform sinus ca. was $25.4\%$ in RT alone group, $80\%$ in combined modality group and $30.6\%$ in overall. Local control rate with RT alone in early stage (II) was excellent $(100\%)$, however combined modality appears to be better for local control$(80\%)$ in advanced stage (III, IV) as compared with that of RT alone group $(32\%).$ On basis of this study, RT alone is effective in terms of local control and functional preservation in treatment of early stage of pyriform sinus ca. while surgery can be reserved for salvage purpose when RT fails and combined modality is recommended in patients with locally advanced stage for better local control and survival.

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