• Title/Summary/Keyword: 후두암

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Follow up and Salvage Treatment for Early Laryngeal Cancer (초기후두암의 추적관찰 및 재발암의 구제치료)

  • 이강대
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.50-60
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    • 1997
  • 조기후두암은 치료 목표는 생명을 구하면서 동시에 후두기능을 최대한으로 보존하는 것이라고 할 수 있는데, 치료자의 철학과 환자의 선호도에 따라 방사선 치료, 레이저 수술 그리고 후두부분적출술 등의 방법이 적용되고 있다. 어떤 치료 방법이던 재발암에 대한 구제치료를 포함하면, 궁극적인 생존율은 거의 비슷하다. 그러므로 일차 치료후 얼마나 적극적으로 환자를 추적관찰하고, 적절한 구제수술을 시행하느냐에 따라 생명의 보존 그리고 재발암에서의 기능의 보존 여부가 좌우된다고 할 수 있다. 향후 보다 체계적인 추적 관찰법과 최소의 환자 부담으로 최대의 성과를 거둘 수 있는 치료방법 이 연구되어져야겠다.

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Investigation of Study Items for the Patterns of Care Study in the Radiotherapy of Laryngeal Cancer: Preliminary Results (후두암의 방사선치료 Patterns of Care Study를 위한 프로그램 항목 개발: 예비 결과)

  • Chung Woong-Ki;Kim I1-Han;Ahn Sung-Ja;Nam Taek-Keun;Oh Yoon-Kyeong;Song Ju-Young;Nah Byung-Sik;Chung Gyung-Ai;Kwon Hyoung-Cheol;Kim Jung-Soo;Kim Soo-Kon;Kang Jeong-Ku
    • Radiation Oncology Journal
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    • v.21 no.4
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    • pp.299-305
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    • 2003
  • Purpose: In order to develop the national guide-lines for the standardization of radiotherapy we are planning to establish a web-based, on-line data-base system for laryngeal cancer. As a first step this study was performed to accumulate the basic clinical information of laryngeal cancer and to determine the items needed for the data-base system. Materials and Methods: We analyzed the clinical data on patients who were treated under the diagnosis of laryngeal cancer from January 1998 through December 1999 In the South-west area of Korea. Eligiblity criteria of the patients are as follows: 18 years or older, currently diagnosed with primary epithelial carcinoma of larynx, and no history of previous treatments for another cancers and the other laryngeal diseases. The items were developed and filled out by radiation oncologlst who are members of forean Southwest Radiation Oncology Group. SPSS vl0.0 software was used for statistical analysis. Results: Data of forty-five patients were collected. Age distribution of patients ranged from 28 to 88 years(median, 61). Laryngeal cancer occurred predominantly In males (10 : 1 sex ratio). Twenty-eight patients (62$\%$) had primary cancers in the glottis and 17 (38$\%$) in the supraglottis. Most of them were diagnosed pathologically as squamous cell carcinoma (44/45, 98$\%$). Twenty-four of 28 glottic cancer patients (86$\%$) had AJCC (American Joint Committee on Cancer) stage I/II, but 50$\%$ (8/16) had In supraglottic cancer patients (p=0.02). Most patients(89$\%$) had the symptom of hoarseness. indirect laryngoscopy was done in all patients and direct laryngoscopy was peformed in 43 (98$\%$) patients. Twenty-one of 28 (75$\%$) glottic cancer cases and 6 of 17 (35$\%$) supraglottic cancer cases were treated with radiation alone, respectively. The combined treatment of surgery and radiation was used in 5 (18$\%$) glottic and 8 (47$\%$) supraglottic patients. Chemotherapy and radiation was used in 2 (7$\%$) glottic and 3 (18$\%$) supraglottic patients. There was no statistically significant difference in the use of combined modality treatments between glottic and supraglottic cancers (p=0.20). In all patients, 6 MV X-ray was used with conventional fractionation. The iraction size was 2 Gy In 80$\%$ of glottic cancer patients compared with 1.8 Gy in 59$\%$ of the patients with supraglottic cancers. The mean total dose delivered to primary lesions were 65.98 ey and 70.15 Gy in glottic and supraglottic patients treated, respectively, with radiation alone. Based on the collected data, 12 modules with 90 items were developed or the study of the patterns of care In laryngeal cancer. Conclusion: The study Items for laryngeal cancer were developed. In the near future, a web system will be established based on the Items Investigated, and then a nation-wide analysis on laryngeal cancer will be processed for the standardization and optimization of radlotherapy.

Composite Graft Reconstruction of Esophagus for Double Primary Cancer of Larynx & Esophagus (후두암과 식도암의 이증원발성 종양에서의 합이식술을 이용한 식도 재건술)

  • I Hoseok;Song Dong Seop;Kim Su Wan;Shim Young Mog
    • Journal of Chest Surgery
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    • v.38 no.11 s.256
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    • pp.791-794
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    • 2005
  • After esophagectomy, the stomach is used most commonly for the method of reconstruction. However, the stomach may not be large enough to be reached the site of anastomosis when it is above the pharynx. We experienced a double primary cancer of the lower esophagus and the larynx. Total laryngectomy and total esophagectomy were done with cervical pharyngojejunogastrostomy for reconstruction. Free jejunal graft is interposed between the oropharyngeal stump and the stomach is pulled-up. We could restore the alimentary track without tension at the anastomotic site and obtain sufficient blood supply.

A Case of Tracheal Cancer Arising 3 Years after Radiation Therapy for Laryngeal Cancer (후두암에 대한 방사선 치료 3년 후 기관암이 발생한 환자 1례)

  • Yum, Gunhwee;Oh, Kyung Ho;Choi, Jung Woo;Kwon, Soon Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.110-113
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    • 2018
  • Tracheal cancer is rare and accounts for approximately 0.03% of all malignancies. Because of atypical symptoms, tracheal cancer can be misdiagnosed as obstructive lung disease, or tumors of thyroid or lung. Among patients of previous head and neck cancer, other primary cancer may accompany which called "econd primary cancer". We report a case of patient with tracheal cancer 3 years after definite radiation therapy of laryngeal cancer with a review of related literatures.

A Case of Laryngocele Combined with Laryngeal Carcinoma (후두낭에 병발한 후두암 1치험례)

  • Lee, Young-Ok;Park, Sung-Su;Lee, Jin-Choon;Wang, Soo-Geun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.18 no.2
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    • pp.138-140
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    • 2007
  • A laryngocele is relatively uncommon disease, and it has abnormal dilatation of the laryngeal saccule or appendix of laryngeal ventricle. Etiology and pathogenesis of laryngocele has still dabated, but laryngocele has high relationship with glass blower, wind instrument player, chronic cough, laryngeal cancer, etc. We have experienced an unusual case of laryngocele combined with laryngeal carcinoma. We discuss the relationship of laryngocele and laryngeal carcinoma, and the current literature is reviewed.

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후두암에 속발한 다발암

  • Choi Jong-Uk;Jeong Gwang-Yun;Yu Hong-Gyun;Kim Dong-Hwan;Jeong Deok-Hui
    • 대한두경부종양학회:학술대회논문집
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    • 1992.11a
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    • pp.142.1-142.1
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    • 1992
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