16年鼻咽癌癌病登記

Nasopharyngeal Cancer Registry in Sixteen Years

陳玉萍(Y. P. Chen) ； 曾雁明(N. M. Tsang) ； 曾振淦(C. K. Tseng) ； 陳文政(W. C. Chen) ； 梁為民(W. M. Leung) ； 湯國政(G. J. Tang)

《放射治療與腫瘤學》 3卷4期 (1996/12) Pp. 233-237

https://doi.org/10.6316/TRO/199603(4)233

摘要

目的：台灣地區近年來癌症已躋身於十大死因之首。鼻咽癌在台灣與中國南部的罹患率比世界其它地方爲高，所以瞭解鼻咽癌對國人健康的影響是非常重要的課題。本研究利用鼻咽癌癌病登記之資料分析及探討鼻咽癌的發病齡分布、居住地與職業環境因子之影響、直系家族癌病史的比率、死亡原因及轉移部位之分布、病患追踪方式及比率成效，作爲日後護理上之改進。
材料與方法：林口長庚醫院放射腫瘤科從1979至1994年，在16年內，共登錄有2860位鼻咽癌患者，進行癌病登記分析。資料來源乃根據病歷記載與該科癌病資料幷進行電話連繫，信件及戶政通訊等追踪。
結果：2860位鼻咽癌病患之發病齡以41-50歲為最多；職業的分布以從事工、農、家管爲暈多；病患居住地之分佈以桃園縣為最高。5年存活率為43%，中間存活年份為3.83年。2860位鼻咽癌病息中有家族癌病史者共226位(7.9%)，有兩種或兩種以上癌病者共44位(l.5%)。在16年內，2860位鼻咽癌病患已有1415位(49.5%)個案死亡。死亡原因中，1002位(70.8%)乃因鼻咽癌局部復發或不能控制去世；有300位(21.2%)因遠處轉移死亡；l13位(8.0%)因癌病以外之其他疾病而死亡。
結論：鼻咽癌好發于狀年時期，對各方面産生深切影響，應積極推動防癌教育以便早期診斷、早期治療。由專業醫師、護理師共同參與建立系統化的癌病登記與追踪是癌病研究所必需的。

關鍵字

癌病登記 ； 癌病追蹤 ； 鼻咽癌

並列摘要

Purpose: Malignancy is the leading cause of death in Taiwan. High prevalence of nasopharyngeal cancer (NPC) is recognized in Taiwan and Southern China compared to the rest of the world. The aim of this study is to improve the role of nursing in management of NPC patients by analyzing the age, living places, employment, family history, site of metastases, follow-up patterns and causes of death.
Material and Methods: Radiation Oncology Department in Chang Gung Memorial Hospital has registered 2860 NPC cases in sixteen years, from 1979 to 1994. The age, living places, employment, family history, site of metastases, follow up patterns and causes of death were examined.
Results: Thirty percentages of patients diagnosed in the age from 41 to 50. Two hundred and twenty-six (7.9%) of them have cancer family history, and 44patients have second primary malignancy, other than NPC. The median survival time was 3.83 years and survival rate at five years was 43%. In these 2860 patients, almost half of them (1415 cases) deceased, one thousand and two died of uncontrollable local disease or local recurrence, and 300 patients died of distant metastases. The remaining 113 cases (8%) died of intercurrent diseases.
Conclusion: NPC mainly occurred at middle age that causing a great impact on the family and society, so early detection and treatment is essential. Good follow-up and organizing cancer registry in cancer patients is substantial in cancer research and investigation.

並列關鍵字

Cancer registry ； Follow up ； Nasopharyngeal cancer