Treatment for synchronous and metachronous carcinomas of the head and neck and esophagus
β Scribed by Dr. Yuji Tachimori; Hiroshi Watanabe; Hoichi Kato; Satoshi Ebihara; Isamu Ono; Takashi Nakatsuka; Kiyonori Harii
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- English
- Weight
- 298 KB
- Volume
- 45
- Category
- Article
- ISSN
- 0022-4790
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β¦ Synopsis
In the past 27 years, 75 patients were found to have separate primary carcinomas of the head and neck and the esophagus. Head and neck tumor was discovered first in 41 patients, synchronously with esophageal tumors in 17 patients, and esophageal tumors were recognized first in 17 patients. Reconstruction by graft after resection of head and neck cancer was necessary in 18 patients and esophagectomy was performed in 62 patients. In eight patients, pharyngeal and esophageal reconstruction was necessary after resection of synchronous and metachronous pharyngeal and esophageal carcinoma. The combined procedure with free tissue transfer was useful for surgical treatment for synchronous or metachronous carcinomas of the head and neck and the esophagus.
π SIMILAR VOLUMES
Background and Objectives: Treatment of multiple primary squamous cell carcinomas of the head and neck and oesophagus is controversial. The poor prognosis of these 2 types of carcinoma taken individually and their anatomic proximity complicate the therapeutic strategy and limit the treatment choices
The esophagus and the head and neck region, both having the squamous epithelium, are thought to be subject to the same carcinogenic factors. This report discusses the diagnosis and treatment of secondary cancer detected following the treatment of primary cancer in 21 patients who had metachronous ca