The role of pulmonary resection in tumors metastatic from head and neck carcinomas

Hiroyuki Daiko, Kanji Nagai, Junji Yoshida, Mitsuyo Nishimura, Tomoyuki Hishida, Mitsuru Ebihara, Masakazu Miyazaki, Takeshi Shinozaki, Shinpei Miyamoto, Minoru Sakuraba, Masahisa Saikawa, Ryuichi Hayashi

研究成果: Article査読

23 被引用数 (Scopus)

抄録

Objective: The purpose of this study was to determine the role of surgical treatment and to identify factors affecting the survival of patients undergoing pulmonary resection for tumors metastatic from head and neck carcinomas. Methods: Thirty-three patients who had undergone resection of pulmonary tumors metastatic from head and neck carcinomas, other than thyroid cancers and sarcomas of the head and neck, were reviewed. Results: The operative morbidity rate was only 6%, no patients died within 30 days after resection and complete resection was achieved in 94% of patients. The overall 1-and 3-year survival rates were 76% and 43%, respectively, and the median survival time was 21 months. The factors found on univariate analysis to significantly affect survival were a diseasefree interval of ≤2 years, tongue carcinoma and squamous cell carcinoma. The factor found, on multivariate analysis, to most strongly affect survival was tongue carcinoma. The most frequent pattern of initial recurrence after pulmonary resection was distant metastasis (64%). Conclusions: The safety and effectiveness of surgical treatment for pulmonary tumors metastatic from head and neck carcinomas in adaptive criteria for resection are well demonstrated. The poor survival after surgical resection of pulmonary tumors metastatic from cancers of the tongue should be noted.

本文言語English
論文番号hyq023
ページ(範囲)639-644
ページ数6
ジャーナルJapanese journal of clinical oncology
40
7
DOI
出版ステータスPublished - 2010 3月 8
外部発表はい

ASJC Scopus subject areas

  • 腫瘍学
  • 放射線学、核医学およびイメージング
  • 癌研究

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