沒有不良口腔習慣之口腔癌女性患者對於治療預後之探討

Outcomes of Primary Oral Squamous Cell Carcinoma after Treatment in Female Patients without Bad Oral Habits

吳崇維(Chung-Wei Wu) ； 陳中和(Chung-Ho Chen) ； 黃逸岳(I-Yueh Huang) ； 謝天渝(Tein-Yu Shieh)

《中華民國口腔顎面外科學會雜誌》 16卷1期 (2005/03) Pp. 30-35

https://doi.org/10.7104/CJOMS.200503.0030

摘要

在印度、東南亞及台灣等地有嚼食檳榔習慣的國家，有較高的口腔鱗狀上皮細胞癌的發生率。但有極少部分口腔鱗狀上皮細胞癌患者是沒有這些不良的口腔習慣，本篇報告的目的是針對無不良口腔習慣的口腔癌患者治療預後之探討。我們回顧1985年至2000年間在高雄醫學大學附設醫院，接受治療之沒有菸、酒、檳榔不良習慣的女性患者共28例，其全部的三年存活率為89.3%， 若排除追蹤時間尚未超過五年的病人，則其全部五年存活率為78.6%，追蹤時間平均為66個月。沒有不良口腔習慣患者之存活率高於有不良習慣之口腔癌患者，因此無菸、酒、檳榔等不良習慣的口腔癌病人若能去除可能的致病因子，給予適當的治療，其治療的效果是優於有不良口腔習慣之患者。

關鍵字

檳榔 ； 口腔癌 ； 存活率

並列摘要

In India, Taiwan and Southeast Asia, the high incidence of oral squamous cell carcinoma (SCC) may be closely related to the high prevalence of betel quid chewing. Only a few oral cancer patients do not have habits of betel quid chewing, cigarette smoking and alcohol drinking. The goal of the study is to determine the outcomes of oral SCC patients after treatment. Collecting the records from 1985 to 2000 at Kaohsiung Medical University hospital, we analyzed 28 cases of female oral SCC patients who have no bad oral habits. The overall 3-year survival rate was 89.3%. If we excluded the cases whose follow-up time was less than 5 years, the overall 5-year survival rate was 78.6%. Under the condition that the average follow-up time was 66 months, the survival rate of the oral SCC patients without bad oral habits was higher than that with bad habits. After proper treatment and removal of the presumable risk factors, the outcomes of oral SCC patients without bad oral habits were better than those with bad habits.

並列關鍵字

Betel quid ； Oral squamous cell carcinoma ； Survival rate