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下咽和颈段食管癌:治疗理念

Cancer of the hypopharynx and cervical esophagus: management concepts.

作者信息

Schechter G L, Kalafsky J T

机构信息

Dept of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School.

出版信息

Oncology (Williston Park). 1988 May;2(5):17-24, 34-5.

PMID:3079327
Abstract

Treatment of cancer of the pharyngoesophageal region requires a multidisciplinary team approach using combined radiotherapy and surgery. Since patients with this cancer usually present for treatment after their tumors have reached advanced stages, their nutritional status is usually poor and must be dealt with prior to instituting therapy. Resection must be radical and usually produces a multifunctional defect. Reconstructive choices are varied, depending on the patient's general condition, the abilities of the head and neck surgeon, and the availability of other surgical specialties to help with reconstruction. Although treatment has become safer and provides a more functional existence, pharyngoesophageal cancer is still a deadly disease that kills two out of three patients.

摘要

咽喉食管区域癌症的治疗需要多学科团队采用放疗与手术相结合的方法。由于这类癌症患者通常在肿瘤发展到晚期后才前来接受治疗,他们的营养状况通常较差,在开始治疗前必须加以处理。手术切除必须彻底,通常会造成多功能缺损。重建方式多种多样,这取决于患者的一般状况、头颈外科医生的能力以及其他外科专业协助重建的可行性。尽管治疗已变得更安全,能让患者有更具功能的生活,但咽喉食管癌仍然是一种致命疾病,每三名患者中就有两名会因此死亡。

相似文献

1
Cancer of the hypopharynx and cervical esophagus: management concepts.下咽和颈段食管癌:治疗理念
Oncology (Williston Park). 1988 May;2(5):17-24, 34-5.
2
[Clinicopathological studies on cases of multiple primary carcinomas of the esophagus associated with carcinoma of the hypopharynx and cervical esophagus].
Gan No Rinsho. 1986 Apr;32(4):392-400.
3
[Interdisciplinary multi-modality therapy of advanced hypopharyngeal and proximal esophageal carcinomas].[晚期下咽癌和食管近端癌的多学科综合治疗]
Langenbecks Arch Chir Suppl Kongressbd. 1998;115:1502-4.
4
[Therapy of advanced hypopharyngeal carcinoma].[晚期下咽癌的治疗]
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Clinical analysis of multiple primary malignancies of the hypopharynx and esophagus.下咽和食管多原发性恶性肿瘤的临床分析
Am J Otolaryngol. 2001 Mar-Apr;22(2):107-10. doi: 10.1053/ajot.2001.22566.
6
[The free jejunal graft for the reconstruction of the hypopharynx and cervical esophagus].
Handchir Mikrochir Plast Chir. 1984 Sep;16(3):151-6.
7
[Problem of the surgical treatment of malignant tumors of the hypopharynx and cervical esophagus].
HNO. 1985 Aug;33(8):359-63.
8
[Excisional surgery of hypopharyngeal cancer and primary reconstruction of the defect].下咽癌切除手术及缺损一期重建
Gan To Kagaku Ryoho. 1986 Apr;13(4 Pt 2):1766-76.
9
[A case of hypopharyngeal carcinoma treated with multidisciplinary therapy without loss of the patient's voice].
Gan No Rinsho. 1985 Oct;31(13):1717-20.
10
[Combination therapy of hypopharyngeal cancer].[下咽癌的联合治疗]
Gan To Kagaku Ryoho. 1987 Jun;14(6 Pt 1):1804-11.