Surgical treatment for pulmonary metastases of squamous cell carcinoma of the head and neck |
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| Authors: | Ken-ichi Nibu M.D. Ken Nakagawa M.D. Shin-etsu Kamata M.D. Kazuyoshi Kawabata M.D. Munenaga Nakamizo M.D. Tomohiko Nigauri M.D. Katufumi Hoki M.D. |
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| Affiliation: | aFrom the Department of Otolaryngology, University of Tokyo, Tokyo, Japan;bDivision of Head and Neck, Department of Thoracic Surgery, Cancer Institute Hospital, Tokyo, USA;cDepartment of Otolaryngology, Nippon Medical College, Tokyo, Japan |
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| Abstract: | Purpose: As locoregional control of head and neck cancer has improved, distant metastases have become increasingly common problems.Patients and Methods: To determine the role of surgical treatment, we reviewed 32 patients with squamous cell carcinoma (SCC) of the head and neck who underwent thoracotomy for pulmonary metastases.Results: The overall 5-year survival rate was 32%. The 5-year survival rate of the patients with SCC of the oral cavity was significantly poorer than that of the patients with other primary site (15.4% v 45.2%; P = .01). In the patients with single nodule, extent of the tumor was a significant prognostic factor (P = .007). Mediastinal lymph node involvement (P = .004) and pleural invasion (P = .04) also correlated with survival.Conclusion: TNM classification of the primary tumor did not have an impact on survival in this study. Further studies of a large series should be performed to determine the indications and modalities of the surgical treatment for pulmonary metastases of the SCC of head and neck. |
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