CAJ | 학술논문

目的探讨低温等离子射频消融术治疗早期声门癌的可行性及疗效.方法 14例无淋巴转移的早期声门型喉鳞癌(Tis～T2)接受了经内镜支撑喉镜下的等离子射频切除,未采用放化疗.术后随访2年1个月至3年1个月.结果术后患者疼痛轻微,当天即可进食、发音.无出血、呼吸困难等并发症.13例患者肿瘤切除彻底,随访至今无瘤生存.1例前连合低分化鳞癌病变侵犯声门下,术后3个月复发,再次等离子射频手术后半年复发,行部分喉切除术后随访至今21个月未见复发.结论等离子射频可以用于早期声门型喉癌的治疗.
목적 탐토저온등리자사빈소융술치료조기성문암적가행성급료효.방법 14례무림파전이적조기성문형후린암(Tis～T2)접수료경내경지탱후경하적등리자사빈절제,미채용방화료.술후수방2년1개월지3년1개월.결과 술후환자동통경미,당천즉가진식、발음.무출혈、호흡곤난등병발증.13례환자종류절제철저,수방지금무류생존.1례전련합저분화린암병변침범성문하,술후3개월복발,재차등리자사빈수술후반년복발,행부분후절제술후수방지금21개월미견복발.결론 등리자사빈가이용우조기성문형후암적치료.
Objective To establish whether Coblation is a suitable modality for removal of early glottic carcinoma. Methods Fourteen patients with early glottic carcinoma (Tis-T2) without lymph node metastasis underwent resection of laryngeal cancer lesions using transoral endoscopic coblation (TEC),without pre- or post-operative radiotherapy and chemotherapy. Results No severe complication such as bleeding and dyspnea ocuurred in the cases. Only mild postoperative pain happened to the patients. All patients could eat and pronunce on the surgery day. With following-up of 25-37 months, no recurrence was observed in 13 cases. One case, with poorly differentiated squamous cell lesion in the anterior commissure invading subglottic, recurred 3 months postoperatively. The patient received the re-resection of laryngeal lesion by coblation, but another recurrence happened to the patient 6 months postoperatively, and then was cured by partial laryngectomy, with recurrence-free survival 21 months postoperatively. Conclusion The observation suggests that transoral endoscopic coblation is a reliable and safe modality for the resection of early glottic carcinoma.