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題 名 | Distant Metastases of Head and Neck Squamous Cell Carcinomas--Experience from Eastern Taiwan=頭頸部鱗狀上皮細胞癌的遠隔轉移--東臺灣之經驗 |
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作 者 | 徐莉萍; 陳培榕; | 書刊名 | 慈濟醫學 |
卷 期 | 17:2 民94.04 |
頁 次 | 頁99-104+132 |
分類號 | 416.8 |
關鍵詞 | 遠隔轉移; 頭頸部鱗狀上皮細胞癌; 東臺灣; Distant metastases; Head and neck squamous cell carcinomas; Eastern Taiwan; |
語 文 | 英文(English) |
中文摘要 | 目的:東臺灣是頭頸部鱗狀上皮細胞癌的好發地區,本研究希探應該區病例之遠隔轉移情形、及可能的危險因子,以供未來治療參考。病人與方法:收集自1991年至2000年間日頭頸部鱗狀上皮細胞癌於本院治療追蹤超過兩年的病患,且落籍花東者,共735人進入本研究;整理分析其臨床資料及治療木,並探討與遠隔轉移相關的因子。結果;整體發生遠隔轉移的機率為20%,自初診斷日至發生遠隔轉移約8個月。肺部、骨骼、與肝臟是最容易發生遠隔轉移的位置,但不同的原發癌有其好發的轉移器官。大多數病患的遠隔轉移只發生在一個器官系統,但鼻咽癌的轉移容易至多個器官系統。容易發生遠隔轉移的因子包括局部控制失敗、原發腫瘤的期別高、頸部淋巴轉移較嚴重、及原發腫瘤位在鼻咽部與下咽部。自診斷遠隔轉移起之存活時間為14個月,且單純只發生遠隔轉移的病人,較同時有局部復發與遠隔轉移的病患存活率較好。結論:頭頸部鱗狀上皮細胞癌的遠隔轉移依其原發部位不同,好發的轉移位置與發生率也不同,但都是治療失敗的主因;因後宜更加強遠隔轉移的治療,尤其是同時有局部復發與遠隔轉移者,以提高癌症的治療成績。 |
英文摘要 | Objective: To evaluate the clinical manifestations and possible risk factors for distant metastases in patients with head and neck squamous cell carcinomas (HNSCCs) from eastern Taiwan, a region with a high prevalence of these malignancies. Patients and Methods: In total, 735 patients with HNSCCs WHO WERE TREATED BETWEEN 1991 AND 2000, all of whom had at least 2 years of follow up, were included in this study. The clinical data were reviewed and possible risk factors for the development of distant metastases were analyzed. Results: The overall incidence of distant metastasis was 20%. The median interval between diagnosis and the occurrence of distant metastases was 8 months. The lungs, bone, and liver remained the most-frequent metastatic sites, but different primary cancer sites had more-prevalent metastatic locations. Most of the patients developed distant metastasis in only 1 organ system, but NPC patients often had involvement of multiple systems. The occurrence of distant metastases was significantly related to locoregional control, TNM stage, N classification, and the primary sites being the hypoharynx and nasopharnx. The median survival after a diagnosis of distant metastasis was 14 months, and it was longer in patients with only distant metastasis compared to those who failed at both locoregional and distant sites. Conclusions: The rate and location of metastasis of different head and neck squamous cell carcinomas vary. But the prognosis of thes epatients remains poor. These findings suggest the need for more-aggressive treatments especially for those who have both locoregional and distant failure. |
本系統中英文摘要資訊取自各篇刊載內容。