台大醫院牙科部1995至1998年頰黏膜癌住院患者統計分析

Statistical Analysis for Hospitalized Patients of Buccal Cancer in Dental Department of National Taiwan University Hospital from 1995 to 1998

李正喆(Jang-Jaer Lee) ； 郭生興(Sang-Heng Kok) ； 陳信銘(Hsin-Ming Chen) ； 楊博正(Puo-Jen Yang) ； 韓良俊(Liang-Jiunn Hahn) ； 郭英雄(Ying-Shiung Kuo)

《中華民國口腔顎面外科學會雜誌》 10卷1期 (1999/03) Pp. 1-7

https://doi.org/10.7104/CJOMS.199903.0001

摘要

統計台大醫院牙科部1995至1998年四年間因口腔癌住院210位患者的基本資料，並針對其中與嚼食檳榔最相關的的頰癌做進一步的分析，結果發現頰癌的發生率逐年升高，共108位，佔所有口腔癌症的一半以上。與西方國家比較，男性頰癌患者平均年齡層偏低，女性頰癌患者所佔比例較少。與口腔癌平均發生年齡比較，男性頰癌平均年齡近似，女性頰癌發生年齡明顯偏高，男性所佔比例高於其它口腔癌症。另外男性頰癌患者嗜食檳榔比例極高，相對於頰癌佔口腔癌症數目比例的逐年上升，兩者有極密切的關係。頰癌病患求診時，多己為T3、T4病例，但與舌癌比較，頰癌之頸部及遠處轉移率較低。

關鍵字

頰癌 ； 檳榔

並列摘要

The patients admitted to the Department of Dentistry, National Taiwan University Hospital from 1995 to 1998 for the treatment of oral cancers were statistically analyzed. Two hundred and ten patients were collected for the demographic study. Patients with buccal cancer, the cancer most closely related to betel quid chewing, were further analyzed. The statistics revealed that the annual incidence of buccal cancer increased in the recent years and buccal cancer accounted for about one half of all oral cancers. When compared with the data from western societies, the average age of male patients with buccal cancer was younger and the ratio of female to male was lower. Male patients with buccal cancer had an average age similar to that of all oral cancer patients but the average age of female patients with buccal cancer was significantly higher. The predilection for occurrence in males was stronger for buccal cancer when compared with cancers in other locations of the mouth. The ratio of betel quid chewers to non-chewers among male patients with buccal cancer increased over the recent and among all oral cancer patients the percentage of patients with buccal cancer also increased at the same time. Most of the buccal cancer patients had T3 or T4 tumor when first diagnosed. However, the rates of local and distant metastasis were lower than those of tongue cancer.