CAJ | 학술논문

进一步探讨贯声门癌临床存在的意义。方法：分析86例贯声门癌的临床表现、手术、颈转移、组织病理学研究及随访资料。结果：贯声门癌有别于声门上、声门型喉癌T2、T3期。其中行全喉切除术63例，次全喉9例，扩大垂直半喉14例；同期行颈廓清术47例。术中见，＞2 cm的贯声门癌58%侵及喉骨架，46%扩展至喉外，以及71%的颈转移。随访5年生存率55.4%,10年29.7%,≥15年18.9%。结论：贯声门癌作为临床的一种特殊类型有实际意义；声门旁间隙的局部解剖特点是导致贯声门癌易广泛扩展和颈转移的原因；对贯声门癌的治疗原则应是在手术同时行选择性颈廓清，术后补充放疗。
진일보탐토관성문암림상존재적의의。방법：분석86례관성문암적림상표현、수술、경전이、조직병이학연구급수방자료。결과：관성문암유별우성문상、성문형후암T2、T3기。기중행전후절제술63례，차전후9례，확대수직반후14례；동기행경곽청술47례。술중견，＞2 cm적관성문암58%침급후골가，46%확전지후외，이급71%적경전이。수방5년생존솔55.4%,10년29.7%,≥15년18.9%。결론：관성문암작위림상적일충특수류형유실제의의；성문방간극적국부해부특점시도치관성문암역엄범확전화경전이적원인；대관성문암적치료원칙응시재수술동시행선택성경곽청，술후보충방료。
A study was undergone about transglottic carcinoma(TGC) in eighty six cases from 1979 to 1998, so as to recognize the TGC.Method:Evaluating retrospectively the procedure of the disease,surgical operations,presence of cervical metastasis,gathering the data on histopathological discovery and following up and so on. Result:The TGC was different from T2、T3 supraglottic or glottic carcinoma of larynx. In 86 TGC, there were 63 cases which were operated with total laryngectomy,9 cases subtotal laryngectomy and 14 cases frontolateral hemilaryngectomy,47 cases with neck dissection. In TGC which size ＞2 cm,there were 58% which extend to the framework of larynx,46% with extension out of larynx,and 71% with neck metastasis.The result of following up shows that 5-year survival rate was 55.41%,10-year was 29.72%,15-year and more was 18.92%. Conclusion:There is an actual signification for TGC to be a special type of the laryngeal carcinoma. The characteristics of the precise topography of the the paraglottic space(PGS) can explain the reason of extension ,spread of the TGC and cervical metastasis. Elective neck dissections and complemental radiotherapy postoperatively should be included during surgical resection.