Hayn Elke, Burian Martin, Meran Johannes Gobertus
Mobiles Palliativteam, Landeskrankenhaus Leoben, Osterreich.
Wien Med Wochenschr. 2006 May;156(9-10):263-9. doi: 10.1007/s10354-006-0287-4.
Advanced laryngeal carcinomas are in most cases still associated with a very poor prognosis and highly reduced quality of life. This case report shows the various and severe complications that occurred after a total laryngectomy in spite of intensive medical treatment. Currently the development and introduction of new organ preserving procedures in advanced laryngeal cancer, without a loss of the prognostical outcome, represents one of the most up to date clinical oncological fields of research in head and neck cancer. This case report critically scrutinizes the current options of therapy available for patients suffering from advanced laryngeal carcinomas, as it is essential in the author's opinion that the decision on treatment is made within the scope of an intensive interdisciplinary strategy of therapy, and is reached by including all possible options available in order to achieve the best possible quality of life for the patients.
大多数情况下,晚期喉癌的预后仍然很差,生活质量也大幅下降。本病例报告展示了全喉切除术后尽管进行了积极治疗仍出现的各种严重并发症。目前,在不影响预后结果的前提下,开发和引入晚期喉癌新的器官保留手术是头颈癌领域最新的临床肿瘤学研究方向之一。本病例报告严格审视了晚期喉癌患者目前可用的治疗选择,因为作者认为,治疗决策必须在密集的多学科治疗策略范围内做出,并且要综合考虑所有可能的选择,以便为患者实现尽可能最佳的生活质量。