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題名 | 高雄榮總口腔癌患者手術治療之臨床分析=Clinical Analysis of Surgical Treatment Outcome of Oral Cancer in OMS, Kaohsiung-VGH, Taiwan |
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作者 | 梁錦榮; 陳大為; Leung, Kam-wing; Chen, Ta-wai; |
期刊 | 中華民國口腔顎面外科學會雜誌 |
出版日期 | 20000900 |
卷期 | 11:2 2000.09[民89.09] |
頁次 | 頁62-67 |
分類號 | 416.95 |
語文 | chi |
關鍵詞 | 口腔癌; 手術治療; |
中文摘要 | 在全身的各種癌症裡面,口腔癌算是預後較好的癌症之一,只要真能做到早期發現、早期治療,其治療率皆很高。本研究統計高雄榮民總醫院口腔顎面外科從79年11月至86年12月間所有口腔癌住院患者的臨床分析,探討其年齡分怖、性別、嗜好、病灶位置、再發率及平均三年存活率等相關資料,進一步暸解早期診斷、早期治療,是本能獲得較好之預後結果。總計有183位患者,求診時診斷為第一期口腔癌患者只佔21位 (12%),162位 (88%) 的患者是在臨床分期第二、三、四期時才來求診,其中第四期患者占了89位 (48%);其中57位( 64%)第四期患者,因腫瘤過大或已發生遠端轉移而無法再以手術治療,只能接受化學治療及放射線治療等安慰療法,因此大多數患者之預後皆不甚理想。 |
英文摘要 | Oral cancer is one of the most easily treatable diseases among all other cancer in the body if early detection. However, we found that most of our patient was at late stage when they first presented in Kaohsiung-VGH. Only 12% patient was at stage I when they came. Eighty-eight percent were later than stage II when they asked for help. Even 48% of patients were at stage IV and 64% among them were inoperable due to huge tumor extension, tumor recurrences and/or having distant metastasis. They can only received palliative chemotherapy or radiotherapy. Therefore, their prognoses were poor. This investigation collected all hospitalized patients with oral cancer from the department of Oral & Maxillofacial Surgery, Kaohsiung-VGH during 1990 to 1997 for clinical analysis, including age distribution, sexual difference, oral habit, lesion site, recurrent rate and survival rate etc. We found that the overall crude 3 years survival rate were 74%, whereas stage I were 86%, stage II were 83%, stage III were 60% and stage IV were 59% respectively. |
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