Management of the patients with hypopharyngeal cancer: eight-year experience of Miyagi Cancer Center in Japan.

摘要: The aim of this study is to evaluate the results treatment for hypopharyngeal cancer and indicate future prospect treatment. Seventy-four patients with squamous cell carcinoma hypopharynx admitted Miyagi Cancer Center from 1993 through 2000 are reviewed. Sixty-four received radical treatment, 10 palliative or no was advanced (stages III IV) in 82% all patients. overall 5-year survival rate 38%. 64 43%. ten who died within 16 months. Fifty-two out 74 underwent neck dissection lymph node involvement; forty 52 ipsilateral 12 bilateral dissection. Four 40 patients, alone, developed late contralateral regional recurrence but were successfully treated by at time recurrence. Twenty-three had multiple primary cancers synchronously metachronously (31%). Cause death six confirmed be other than cancer, as judged physicians department hospitals. Most due distant metastasis cancers. We therefore conclude that elective which frequently chosen surgery unnecessary. Even if locoregional control accomplished, emerge make prognosis poor. To improve prognosis, we should develop some strategy against each patient. New strategies including chemoprevention metasistasis necessary.