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KMID : 0361019810240030362
Korean Journal of Otolaryngology - Head and Neck Surgery
1981 Volume.24 No. 3 p.362 ~ p.373
A Statistical Analysis of diagnostic Biopsy for 696 cases with head and neck lesion
ðáòâÐ¥/Cho, Chin Kyu
ó³óãìî/äÌüåçÈ/ãéÙ¥âª/õËõðÐñ/Cha, Chang Il/Ahn, Hwoe Young/shin, Myung Soo/Choi, Choon Gee
Abstract
A statistical analysis for 696 cases of diagnostic biopsy was attempted to evaluate the general incidence- rate of the clinical use of biopsy, sex and age distribution, regional incidence rate, duration of the symptoriis, varieties of histopathological classification by cases.
Obtained results were as follows:
1) Among the 22,107 new patients, 696 biopsies were performed (3.1%), composed 427 male cases (61.4%) and 269 female cases (38.6%) with a ratio of 1.6 1, and the most common group in age was 6th decades (161 cases, 23.1%), followed by 5th (135 cases, 19.4%) and 7th (117 cases, 16.8%) decades.
2) Average duration of the symptoms was most common in case of below the 3 months (182 cases, 26.170, followed by between 6 months and 1 year (156 cases, 22.4%) and between 3 and 6 months (147 cases, 21.1%), in order.
3) Regional. distribution of the practical use of the diagnostic biopsy was nose and paranasal sinus 91 cases (13.1%), pharynx and oral region 160 cases (23.0%), larynx 131 cases (18.8%), esophagus 10 cases (1.4%), trachea and bronchus 30 cases (4.3%), ear 26 cases (3.7%), head and neck region 248 cases (35.6%).
4) Histopathologically, benign tumors were 270 cases (38.8%), malignant tumors 252 cases (36.2%), nonspecific inflammation 94 cases (13.5%), specific inflammation 75 cases (10.8%), and¢¥ the remained were miscellaneous lesions.
5) Nose and Paransal sinus: Among the 91 biopsies, benign tumors were 31 cases (34.1%) malignant tumors 51 cases (56.0%), inflammation 9 cases (9.9%). In benign tumors, papilloma was 13 cases (41.9%), angiofibroma 5 cases (35.0%) etc.. In malignant tumors, squamous cell carcinoma was 35 cases (68.6%), undifferentiated carinoma 3 cases (5.9%) etc..
6) Pharynx and Oral region: Among the 160 biopsies, benign tumors were 62 cases (38.8%), malignant tumors 56 cases (35.0%), inflammation 42 cases (26.3%). In benign tumors, hema

:ngioma was 15 cases (24.2%), cyst 11 cases (17.7%) etc.. In malignant tumors, squamous cell ,carcinoma was 33 cases (58.9%), malignant lymphoma 9 cases (16.1%) etc..
7) Larynx: Among the 131 biopsies, benign tumors were 76 cases (58.0%), malignant tumors 399 cases (29.8%), inflammation 13 cases (9.9/), and miscellaneous lesion 3 cases (2.3%). In benign tumors, nodule was 58 cases (76.3%), papilloma 10 cases (13.2%) etc.. Malignant tumors were all squamous cell carcinoma.
8) Esophagus: Among the 10 biopsies, benign tumor was I case (10.0%), malignant tumors 7 cases (70.0%), inflammation 1 case (10. 0%), and miscellaneous lesion 1 case (10. 0%). One ,case of benign tumor was polyp. In malignant tumor, squamous cell carcinoma was 6 cases (85.7%).
9) Trachea and Bronchus: Among the 30 biopsies, malignant tumor were 13 cases (43.3%), inflammation 16 cases (53.5%), and miscellaneous lesion I case (3.3%). In malignant tumor, squamous cell carcinoma was 9 cases (69.2%), small cell carcinoma 3 cases (23.1%).
10) Ear: Among the 26 biopsies, benign tumors were 12 cases (46.2%), malignant tumors 8 cases (30.8%), inflammation 6 cases (23. 1%). In benign tumor, cyst was 6 cases(50.0%), eosinophilic granuloma 2 cases (16.7%). In malignant tumor, metastatic carcinoma was 4 cases (50.0%), squamous cell carcinoma 2 cases (25.0%).
11) Head and Neck region: Among the 248 biopsies, benign tumors were 88 cases (35.5%), malignant tumors 78 cases (31.5%), inflammation 82 cases (33. 1%). In benign tumor, cyst was 14 cases (15.9%), hemangioma and papilloma were 6 cases (6.8%) each other. In malignant tumor, metastatic carcinoma was 39 cases (50.0%), squamous cell carcinoma 11 cases (14.1%), malignant lymphoma 10 cases (12.8%) etc..
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