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KMID : 0361020010440030301
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 3 p.301 ~ p.304
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The value of salvage operation for recurrent head and neck cancer after surgery alone or surgery with radiotherapy
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나선규/Seon Kyu Na
조형주/전진형/박찬흠/노영수/임현준/Hyoung Joo Cho/Jin Hyoung Jeon/Chan Hum Park/Young Soo Rho/Hyun Joon Lim
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Abstract
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Background and Objectives : Recurrent squamous carcinoma of head and neck carcinoma is not encountered infrequently. Surgical salvage is the most reasonable treatment for recurrence. The aim of the present review is to provide more information on
the
results and prognosis of surgical salvage after surgery alone or surgery with combined radiotherapy. Materials and Methods : The operative salvage of recurrent head and neck carcinoma after surgery alone or surgery with combined radiotherapy was
retrospectively studied in 18 patients treated between 1994 and 1999. Of the 18 patients in this retrospective review, there were 6 with local recurrence, 8 with regional recurrence, and 4 with stomal recurrence. Results : The operative
mortality
was
16.6% and 72% of patients had one or more surgical complications. The 2-year crude survival rate in this series was 30% and the mean period of survival was 11.4 months. The 2-year survival rate were 33.3% for local recurrence and 50% for regional
recurrence, and 0% for stomal recurrence. Conclusion : We concluded that surgical salvage had unsatisfactory results for patients with recurrent head and neck carcinoma after surgery alone or surgery with combined radiotherapy. Because of this
low
salvage rate, we should regard salvage surgery as palliative rather than therapeutic.
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KEYWORD
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