Clinical Analysis of Hypopharyngeal Carcinoma

Norihiko Ishikawa, Hitoshi Hentona, Taro Sugimoto, Hidetoshi Haraguchi, Atsushi Komatsuzaki
1996 Nihon Kikan Shokudoka Gakkai Kaiho  
Sixty-five patients of the hypopharyngeal carcinoma were treated at our clinic from 1984 to 1993, which were 48 pyriform sinus type, 12 postcricoid type and 5 posterior wall type ; 2 stage I, 6 stage II, 20 stage III and 37 stage IV. Seventy-four percent of patients clinically had metastatic nodes. As for primary treatments, 51 patients out of 65, were treated with surgery , and 11 patients were treated with irradiation, radically in 4 and palliatively in 7. Three patients had no treatment
more » ... se they refused any treatment. The surgical procedures were pharyngolaryngoesophagectomy and free jejunum transplantation with bilateral or unilateral neck dissection in most cases. The survival rate (Kaplan-Meier method) of all treated patients was 40.4% at 5 years. The five-year survival rate for stages I and II was 60%, III and IV was, 35.1% and 39 .3%, respectively ; for nodal conditions, N0 : 56.1%, N1 : 42.1%, N2 : 37.3%, N3 : 18.2%; for site of lesion, pyriform sinus: 48.6%, postcricoid: 33.3%, posterior wall: 0 %; for treatment modalities, surgery : 45.7%, radical radiation : 50%, palliative radiation : 0 %. Recently, the incidence of aged patients has increased. So we compared treatment modality, surgical procedure, complication and prognosis between patients aged 65 or above and under 65. As a result, we considered that we should treat aged patients aggressively almost the same as younger patients, taking care intensively for complications.
doi:10.2468/jbes.47.1 fatcat:wgb2rkcxpvbghkft37nsvyuo3i