외이도 악성 종양의 치료 결과 및 예후 인자 분석 (The Analysis of Prognostic Factor and Treatment Outcome of Malignancies of the External Auditory Canal)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 53권 / 5호 / 275 ~ 283페이지
· 저자명 : 박경태, 송재진, 장정훈, 오승하, 김종선, 장선오, 이준호

초록

Background and ObjectivesZZThe purpose of this study was to analyze the survival rate treatment modalities and certain prognostic factors in patients with external auditory canal (EAC)cancer using the University of Pittsburgh TNM Staging System.
Subjects and MethodZZMedical records and radiological findings of 33 patients treated for EAC cancer between January 1995 and January 2009 were reviewed retrospectively. The median follow-up period was 65 months (range, 12-182 months).
ResultsZZThe most common histological type was squamous cell carcinoma (19 patients;57.6%), followed by adenoid cystic carcinoma (9 patients; 27.3%), basal cell carcinoma (1 patient),adenocarcinoma (1 patient), rhabdomyosarcoma (1 patient), undifferentiated carcinoma (1 patient) and malignant small round cell tumor (1 patient). Seven of 33 patients died of EAC cancer and the overall survival rate was 70.6%. There was a significant difference in the survival rate with respect to TNM stages (p=.031). The 10 yr-survival rate of patients with stage I disease was 100.0%, whereas those of stages II, III and IV were 50.0, 80.0 and 58.3%, respectively.
Five of 7 patients with recurrence had a history of initial positive resection margin.
ConclusionZZEarly detection and proper surgical treatment with sufficient resection margin are essential for disease-specific survival and prevention of recurrence in patients with EAC cancer. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:275-83

영어초록

Background and ObjectivesZZThe purpose of this study was to analyze the survival rate treatment modalities and certain prognostic factors in patients with external auditory canal (EAC)cancer using the University of Pittsburgh TNM Staging System.
Subjects and MethodZZMedical records and radiological findings of 33 patients treated for EAC cancer between January 1995 and January 2009 were reviewed retrospectively. The median follow-up period was 65 months (range, 12-182 months).
ResultsZZThe most common histological type was squamous cell carcinoma (19 patients;57.6%), followed by adenoid cystic carcinoma (9 patients; 27.3%), basal cell carcinoma (1 patient),adenocarcinoma (1 patient), rhabdomyosarcoma (1 patient), undifferentiated carcinoma (1 patient) and malignant small round cell tumor (1 patient). Seven of 33 patients died of EAC cancer and the overall survival rate was 70.6%. There was a significant difference in the survival rate with respect to TNM stages (p=.031). The 10 yr-survival rate of patients with stage I disease was 100.0%, whereas those of stages II, III and IV were 50.0, 80.0 and 58.3%, respectively.
Five of 7 patients with recurrence had a history of initial positive resection margin.
ConclusionZZEarly detection and proper surgical treatment with sufficient resection margin are essential for disease-specific survival and prevention of recurrence in patients with EAC cancer. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:275-83

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