Clinical Analysis of Cases of Hypopharyngeal Cancer and Esophageal Double Cancer

Accession number;03A0442837
Title;Clinical Analysis of Cases of Hypopharyngeal Cancer and Esophageal Double Cancer
Author; CHIJIWA HIDEKI (Kurumedai I Jibiinkokatokeibugeka) CHIJIWA KEIICHI (Kurumedai I Jibiinkokatokeibugeka) UMENO HIROHITO (Kurumedai I Jibiinkokatokeibugeka) NAKASHIMA TADASHI (Kurumedai I Jibiinkokatokeibugeka) FUJITA HIROMASA (School of Medicine, Kurume Univ., JPN) SUEYOSHI SUSUMU (School of Medicine, Kurume Univ., JPN)
Journal Title;Journal of the Japan Broncho-Esophagological Society
Journal Code:Z0674A
ISSN:0029-0645
VOL.54;NO.3;PAGE.189-196(2003)
Figure&Table&Reference;FIG.6, TBL.5, REF.20
Pub. Country;Japan
Language;Japanese
Abstract;We analyzed the cases of double cancer from 182 hypopharyngeal cancer patients and 596 esophageal cancer patients who were treated in the Surgery of the Otorhinolaryngology Department of Kurume University Hospital between 1989 and 2000. There were 43 double cancer patients (synchronous 32 cases, metachronous 11 cases), and the occurrence rates were 23% for hypopharyngeal cancers and 7% for esophageal cancers. The three-year cumulative survival rates determined by the Kaplan-Meier method for early hypopharyngeal cancers, with or without esophageal cancer, were 81% and 76%, respectively. Similarly, the survival rates for advanced hypopharyngeal cancers were 41% (with double cancer) and 45% (without double cancers). There was no statistically significant difference between the groups. The three-year cumulative survival rates for early esophageal cancers, with or without double cancers, were 60% and 85%, respectively. Similarly, the survival rates for advanced esophageal cancers were 53% (with double cancer) and 40% (without double cancer). There was no statistically significant difference here either. The present study suggests the necessity of early diagnosis and treatment of double cancer in patients with hypopharyngeal cancer and esophageal cancer in close cooperation between Surgery and Otorhinolaryngology departments. (author abst.)
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