방사선치료 실패 후의 수직부분후두절제술은 안전한가?

• 영문명: Is Salvage Vertical Partial Laryngectomy Safe in Patients with Radiation-Failure Carcinoma of the Glottic Larynx?
• 발행기관: 대한두경부종양학회
• 저자명: 임영창(Young Chang Lim) 임정택(Jeong Taek Lim) 강주완(Joo Wan Kang) 최현승(Hyun Seung Choi) 송미현(Mee Hyun Song) 김민범(Min Byum Kim) 최은창(Eun Chang Choi)
• 간행물 정보: 『대한두경부종양학회지』제19권 제1호, 16~20쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2003.05.30

영문 초록

Objectives: Radiotherapy is an effective treatment in the initial management of T1 glottic carcinoma, but local recurrent or residual tumor growth is found in approximately 10% of the patients. Even in recurrence or residual tumor, in highly selected cases, conservation surgery with preservation of a portion of the larynx is feasible. So we investigated the efficacy of salvage vertical partial laryngectomy for recurrent glottic carcinoma after irradiation. Material and Methods: Retrospectively we reviewed a consecutive series of 10 patients treated by conservative vertical partial laryngectomy of the larynx for radiation-failure, recurrent T1 glottic squamous cell carcinoma treated at Severance Hospital from 1994 to 2002. Results: Local recurrence developed in 4 patients (40%). Two patient was salvaged by further totallaryngectomy. Successful salvage was achieved finally in 8 (80%) of the 10 patients. There was no operative mortality. Postoperative perichondritis was developed in two patients. One was resolved by conservative treatment, but the other has underwent the total laryngectomy. Conclusion: A vertical partial laryngectomy in case of recurrent glottic carcinoma after a course of irridation should be the therapy of choice when stringent criteria are observed.

목차

Abstract

서론

환자 및 종양특성

수술방법

결과

고찰

결론

References

키워드

체성문암 방사선 치료실패 구체수직 부분후두-절제술 Radiation failure Early glottic carcinoma Salvage vertical partial laryngectomy