Metachronous second primary malignancy in head and neck cancer patients: is five years of follow-up sufficient?
Journal of the Korean Association of Oral and Maxillofacial Surgeons
;
: 220-224, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-717788
ABSTRACT
OBJECTIVES:
The aim of this study was to determine the incidence and characteristics of second primary malignancy (SPM) in patients with head and neck squamous cell carcinoma treated at a tertiary care hospital. MATERIALS ANDMETHODS:
We retrospectively reviewed the medical records of 221 patients who underwent surgery with or without adjuvant treatment for head and neck cancer from 2000 to 2002. Data of age, sex, risk factors, sites of primary and SPM, TNM stage of primary tumor, incidence of SPM, and survival were collected from medical charts.RESULTS:
Eighteen patients developed SPM during a median follow-up of 67 months, with an overall incidence of 8.14%. In addition, 77.7% of SPMs occurred in the oral cavity, followed by 11% in the lungs. The 5-year overall survival after the diagnosis of SPM in the head or neck was 70%, compared to 30% for SPM in other body regions.CONCLUSION:
Considering a high incidence of SPM, i.e., 8.14%, in a mean follow-up period of 67 months suggests the need for long-term follow-up. Since treatment of SPM has shown an acceptable survival rate, early detection and curative therapy should be emphasized.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Atención Terciaria de Salud
/
Regiones Corporales
/
Carcinoma de Células Escamosas
/
Registros Médicos
/
Incidencia
/
Tasa de Supervivencia
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Estudios de Seguimiento
/
Diagnóstico
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Año:
2018
Tipo del documento:
Artículo
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