Surgical Treatment of the Nasopharyngeal Carcinoma

비인강암의 수술 치험

  • Lee Won-Sang (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Chun Young-Myoung (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Youn Jung-Sun (Department of Otolaryngology, Yonsei University College of Medicine)
  • 이원상 (연세대학교 의과대학 이비인후과학교실) ;
  • 전영명 (연세대학교 의과대학 이비인후과학교실) ;
  • 윤정선 (연세대학교 의과대학 이비인후과학교실)
  • Published : 1993.11.01

Abstract

The primary treatment of the nasopharyngeal carcinoma is, at this time, mainly based on radiotherapy. In most studies for patient treated with radiotherapy, overall 5-year survival rate is in the range of 35 to 55%. Obviously, these therapeutic results may be influenced by various factors such as clinical stages, histopathological types and radiation techniques, etc. Though the radiotherapy had a good therapeutic result, there is a limitation to apply the radiotherapy only in cases of the advanced nasopharyngeal carcinoma. Anatomical complexity of the skull base and difficulties in complete surgical intervention were the trouble of the surgery but in the case of radiation failure, there is no adequate cholice of other curative modalities. So it is appropriate to investigate whether surgical resection may improve the results of treatment of nasopharyngeal carcinoma. The purpose of this paper is to report the surgical experience with nasopharyngeal carcinoma, then to take into consideration of the new model of treatment strategy of nasopharyngeal carcinoma.

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