- 期刊
小唾液腺癌－六例報告
Carcinomas of the Minor Salivary Gland – Report of Six Cases
摘要
背景：小唾液腺腫瘤由於惡性率高，所以臨床上一旦發現，多建議患者儘早切除，以確定診斷。本拜蒐集小唾液腺癌之臨床分期、病理組織、治療方式和預後結果，加以分析，提出報告。 方法：自1987年7月至1994年6月，共有6個小唾液腺癌患者在本科接受完整治療及追蹤，年齡分佈自40歲至74歲不等，病理組織種類有5種，其臨床分期依照1992年AJCC的TNM系統分類：第1期1例，第2期4例，第3期1例。治療方式以手術切除為主，放射治療及化學治療為輔。 結果：2年存活率6/6(100%)，5年存活率3/4(75%)。6例患者中僅1側第3期患者於術後1年局部復發而存活2年後死亡，其餘病例目前皆存活且繼續門診追蹤治療。 結論：小唾液腺癌，若早期發現，及早治療，則預後良好。
並列摘要
Background: This article reports the experience of our treatments of minor salivary gland carcinomas with different histological patterns and clinical stages. Methods: Form 1987 to 1994, 6 patients with minor salivary gland carcinoma were diagnosed and treated in our epartemtn. One patient presented with stage-I disease, four stage-II, and one stage-III disease. The treatment modalities of choice are surgery combined with post-operative radiotherapy. Results: Overall survival rates were 100% at 2 years, and 75% at 5 years. Only one patient with stage-III expired of local recurrence. Conclusion: The minor salivary gland carcinomas may be treated with satisfactory outcome, if they were early diagnosed.