CAJ | 학술논문

目的：探讨老年头面部恶性肿瘤的临床特点及治疗措施。方法回顾性分析80例老年头面部恶性肿瘤患者的临床资料。结果80例患者中，男49例，女31例，男女比例1.58：1；年龄61~86岁，中位年龄68岁；发生于头皮16例，面颊19例，前额19例，鼻翼14例，眼睑12例；基底细胞癌42例（52.5％），鳞状细胞癌33例（41.2％），Bowen病5例（6.3％）；49例采用外科手术治疗，21例采用外科手术配合光动力治疗，10例单独使用光动力治疗，1 a随访期内均未复发。结论老年头面部恶性肿瘤发生率较高，且表现形式多种多样，易引起漏诊和误诊，临床医生应提高对头面部肿瘤的警惕性；外科手术配合光动力治疗头面部恶性肿瘤具有较好疗效。
목적：탐토노년두면부악성종류적림상특점급치료조시。방법회고성분석80례노년두면부악성종류환자적림상자료。결과80례환자중，남49례，녀31례，남녀비례1.58：1；년령61~86세，중위년령68세；발생우두피16례，면협19례，전액19례，비익14례，안검12례；기저세포암42례（52.5％），린상세포암33례（41.2％），Bowen병5례（6.3％）；49례채용외과수술치료，21례채용외과수술배합광동력치료，10례단독사용광동력치료，1 a수방기내균미복발。결론노년두면부악성종류발생솔교고，차표현형식다충다양，역인기루진화오진，림상의생응제고대두면부종류적경척성；외과수술배합광동력치료두면부악성종류구유교호료효。
Objective Toanalyzetheclinicalcharacteristicsandtherapeuticmeasuresofelderlypatientswith craniofacialmalignanttumor.Methods Theclinicaldataof80elderlypatientswithcraniofacialmalignanttumor wereanalyzedretrospectively.Results Therewere49malepatientsand31femalepatientsin80patients,themale to female ratio of patients was 1. 58:1. The onset ages were from 61 to 86 years,and the median age was 68 years. Sixty patients occurred on the scalp,19 patients on the check,19 patients on the forehead,14 patients on the nasal alar and 12 patients on the eyelid. Forty-two patients(52. 5%)with basal cell carcinoma,33 patients(41. 2%) with squamous cell carcinoma accounting,5 patients(6. 3%)with Bowen disease. Forty-nine patients were treated with surgery,21 patients were treated by surgery with photodynamic therapy,10 patients were used photodynamic therapyalone.Therehasnorecurrenceduringone-yearfollow-up.Conclusion Theelderlypatientswithcraniofa-cial malignant tumor are most frequently found,its manifestations are multiplicity,can easily lead to misdiagnosis and missed diagnosis,so clinicians should increase vigilance of craniofacial tumor;surgery combined with photody-namic therapy has become a relatively better method for craniofacial tumor.