喉功能保留的梨状窝癌外科治疗

目的 评价喉功能保留梨状窝癌的手术治疗效果。方法 回顾性分析了１９７４～１９９４年６月我院初治的４４例经保留喉功能手术治疗的梨状窝癌病例，其中Ｔ１１０例Ｔ２１８例，Ｔ４２例。２例术后放射治疗，４２例术前放射治疗，原发灶术式包括：３６例梨状窝切除术；８例喉及下咽部分切除术。结果 ４４例５年生存率为５０％，Ｉ期为８０％，Ⅱ期为７１．４３％，Ⅲ期为５２．９％，Ⅳ期为２６．７％，总的局部控制率为８１．８％

Laryngeal function-sparing surgery for pyriform sinus cancer]

OBJECTIVE: To evaluate the oncologic effect of laryngeal function-sparing surgery for the patients with pyriform sinus carcinoma. METHODS: A retrospective analysis was performed. Forty-four patients with pyriform sinus cancer who underwent operations were included. There were 10 patients in T1, 14 in T2, 18 in T3 and 2 in T4 categories. 42 patients received preoperative radiation and 2 cases, post-operative radiation. Surgery for the local lesions: 36 patients underwent pyriform sinusectomy and 8, partial laryngectomy and pyriform sinusectomy. RESULTS: Five year survival rate is 50% for the whole series, 80% for stage I, 71.4% for stage II, 52.9% for stage III, 26.7% for stage IV and 45% for all T3 + T4 patients. Local control rate is 81.8% for all patients and 75% for T3, T4 patients. CONCLUSION: For selected pyriform sinus cancer patient a conservative laryngeal surgery is warranted with the combination of preoperative radiative therapy.