高雄榮總口腔癌患者手術治療之臨床分析

Clinical Analysis of Surgical Treatment Outcome of Oral Cancer in OMS, Kaohsiung-VGH, Taiwan

梁錦榮(Kam-Wing Leung) ； 陳大為(Ta-Wai Chen)

《中華民國口腔顎面外科學會雜誌》 11卷2期 (2000/09) Pp. 62-67

https://doi.org/10.7104/CJOMS.200009.0062

摘要

在全身的各種癌症裡面，口腔癌算是預後較好的癌症之一，只要真能做到早期發現、早期治療，其治療率皆很高。本研究統計高雄榮民總醫院口腔顎面外科從79年11月至86年12月間所有口腔癌住院患者的臨床分析，探討其年齡分佈、性別、嗜好、病灶位置、再發率及平均三年存活率等相關資料，進一步瞭解早期診斷、早期治療，是否能獲得較好之預後結果。總計有183位患者，求診時診斷為第一期口腔癌患者只佔21位(12%)，162位(88%)的患者是在臨床分期第二、三、四期時才來求診，其中第四期患者占了89位(48%)；其中57位(64%)第四期患者，因腫瘤過大或已發生遠端轉移而無法再以手術治療，只能接受化學治療及放射線治療等安慰療法，因此大多數患者之預後皆不甚理想。

關鍵字

口腔癌 ； 早期治療

並列摘要

Oral cancer is one of the most easily treatable diseases- among all other cancer in the body if early detection. However, we found that most of our patient was at late stage when they first presented in Kaohsiung-VGH. Only 12% patient was at stage I when they come. Eighty-eight percent were later than stage II when they asked for help. Even 48% of patients were at stage IV and 64% among them were inoperable due to huge tumor extension, tumor recurrences and/or having distant metastasis. They can only received palliative chemotherapy or radiotherapy. Therefore, their prognoses were poor. This investigation collected all hospitalized patients with oral cancer from the department of Oral & Maxillofacial Surgery, Kaohsiung-VGH during 1990 to 1997 for clinical analysis. Including age distribution、sexual difference 、oral habit 、lesion site 、recurrent rate and survival rate etc. We found that the overall crude 3 years survival rate were 74%, whereas stage I Were 86%, stage II were 83%, stage III were 60% and stage IV were 59% respectively.