山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (4): 36-39.doi: 10.6040/j.issn.1673-3770.1.2019.032

• 临床报告 • 上一篇    下一篇

喉异期喉重复癌

黄若飞,陈立晓,陈歆维,於子卫,金斌,祝江才,董频*()   

  1. 上海市第一人民医院耳鼻咽喉头颈外科,上海 200080
  • 收稿日期:2019-05-13 出版日期:2019-07-16 发布日期:2019-07-22
  • 通讯作者: 董频 E-mail:dongpin64@aliyun.com
  • 基金资助:
    上海申康医院发展中心“促进市级医院临床技能与临床创新能力三年行动计划”《下咽鳞癌新辅助前瞻性单中心精准化治疗及生命组学研究》(16CR2029B)

Recurrent laryngeal cancer

Ruofei HUANG,Lixiao CHEN,Xinwei CHEN,Ziwei YU,Bin JIN,Jiangcai ZHU,Pin DONG*()   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Shanghai First People′s Hospital, Shanghai 200080, China
  • Received:2019-05-13 Online:2019-07-16 Published:2019-07-22
  • Contact: Pin DONG E-mail:dongpin64@aliyun.com
  • Supported by:
    上海申康医院发展中心“促进市级医院临床技能与临床创新能力三年行动计划”《下咽鳞癌新辅助前瞻性单中心精准化治疗及生命组学研究》(16CR2029B)

摘要: 目的

分析喉癌术后无瘤生存5年以上,喉重复癌病例的临床特征与治疗。

方法

收集近20年来符合以上条件的喉癌患者对初发和再发肿瘤的时间间隔、再发后治疗方式及生存情况进行分析。

结果

1997至2018年患者9例,其中T1N0M0 3例,T2N0M0 5例,T3N0M0 1例。喉癌治疗后喉部重复癌发生最短60个月,最长190个月。喉部重复癌(同侧3例,对侧3例,声门下3例)9例,8例进行了不同方式的二次手术治疗。喉部重复癌确诊后2例死亡,已生存时间15~87个月;其中再手术后生存时间超过3年者5例。

结论

喉癌术后远期治愈后仍有肿瘤再发局部重复癌可能,需坚持长期有效的随访,尽早发现再发病灶并进行处理,仍能延长患者生存期。

关键词: 喉肿瘤, 重复癌, 手术, 预后

Abstract: 目的

分析喉癌术后无瘤生存5年以上,喉重复癌病例的临床特征与治疗。

方法

收集近20年来符合以上条件的喉癌患者对初发和再发肿瘤的时间间隔、再发后治疗方式及生存情况进行分析。

结果

1997至2018年患者9例,其中T1N0M0 3例,T2N0M0 5例,T3N0M0 1例。喉癌治疗后喉部重复癌发生最短60个月,最长190个月。喉部重复癌(同侧3例,对侧3例,声门下3例)9例,8例进行了不同方式的二次手术治疗。喉部重复癌确诊后2例死亡,已生存时间15~87个月;其中再手术后生存时间超过3年者5例。

结论

喉癌术后远期治愈后仍有肿瘤再发局部重复癌可能,需坚持长期有效的随访,尽早发现再发病灶并进行处理,仍能延长患者生存期。

Key words: Laryngeal neoplasms, Repeat cancer, Surgery, Prognosis

中图分类号: 

  • R767
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