Morant Ventura A, Marco Algarra J, Giménez Vaíllo F, Cano Cuenca B, Contreras Castelló A
Servicio de O.R.L. del Hospital Clinico Universitario de Valencia, Universidad de Valencia.
An Otorrinolaringol Ibero Am. 1992;19(6):567-79.
Retrospective survey done with 27 patients of epidermoid carcinoma of the piriform sinus in order to ascertain the degree of regional spread--both clinic and histologic--of the neoplasm and also set up the relation between the actual adenopathies, the rate of recurrences and the actuarial survival at 5 years post-treatment term. The checked results show the bad prognosis of such tumors irrespective of the most aggressive surgery (partial hemipharyngectomy plus total laryngectomy plus neck dissection and postoperative X-ray therapy). The actuarial survival accounts for 29.6 percent after 5 years. The AA. confirm a great lymphophile tendency with an invasion percentage amounting to 55.6 percent but with a certain clinic-histologic disagreement. Relation between the frequency of adenopathies (clinical and histological), the survival and the recurrences at 5 years is indicative to a great extent that adenopathies are a pejorative circumstance of these neoplasms.
对27例梨状窝表皮样癌患者进行回顾性调查，以确定肿瘤的区域扩散程度——包括临床和组织学方面——并建立实际淋巴结肿大、复发率与治疗后5年实际生存率之间的关系。检查结果显示，无论采取何种激进手术（部分半喉咽切除术加全喉切除术加颈部清扫术及术后X线治疗），此类肿瘤的预后都很差。5年后的实际生存率为29.6%。作者证实该肿瘤有很强的亲淋巴倾向，侵袭率达55.6%，但在临床组织学方面存在一定分歧。5年时淋巴结肿大（临床和组织学）的频率、生存率和复发率之间的关系在很大程度上表明，淋巴结肿大是这些肿瘤的不良情况。
