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喉頭腫瘍의 臨床的觀察 Clinical Observation on Laryngeal Tumors

최신의학 1963년 6권 1호 p.62 ~ 68
전지일,
소속 상세정보
전지일 (  ) 
부산대학교 의과대학 이비인후과교실

Abstract


The author studied on 119 cases having laryngeal tumor clinically and histopathologically for the past 5 years, and following results were obtained:
1. The 119 cases corresponded to 1.1 per cent of total cases at E.N.T. clinic, 17.5 per cent of total laryngeal diseases, and consisted of 60 cases (50.4%) of benign tumor and 59 cases (49.6%) of malignant tumor.
2. Of the 60 cases benign tumor, 22 were the papilloma (36.7%), 23 were the polyp (38.3%), 13 were the nodule (21.7%), one was the fibrochondroma, and one was the cyst. Of the 59 cases of malignant tumor, 58 cases were the carcinoma, and one was the sarcoma.
3. Age incidence revealed that papilloma was mainly seen under the 10 years of age, polyp and nodule in second decade, and malignant tumor in fifth decade. Sex ratio was 2.2 to 1 of male to female in benign tumors, and 5.6 to 1 in malignant tumors.
4. Occupationally, benign tumor showed high incidence in pupiles, lecturers and soldiers, and 41% (24 cases) of the malignant tumor were farmers.
5. 16 cases (26.7%) of benign tumor showed over 2 years of duration between the onset (subjective) and the first visit, but 20 cases (34%) of malignant tumor showed 3 to 6 months of duration.
6. Chief initial symptom was hoarseness, and main clinical symptom was husky voice in benign tumor and in intrinsic carcinoma of the malignant tumors, while swallowing disturbance in extrinsic and mixed type of carcinoma.
7. Histopathologically, 15 cases of polyp showed inflammatory proliferation in 12 and edematous change in 3 cases and malignant tumors were 53 (81%) of squamous cell carcinoma and 4 of basal cell carcinoma.
8. 12 cases (20%) of cervical lymph chain metastasis were found.
9. Recurrence was seen in 8 cases (36%) of papilloma, in 5(23%) of polyp and nodule, and in one out of 3 totally larynoectomized and irradiated cases.

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