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1
題名:Carcinoma in the Pharynx: Nasopharynx, Oropharynx and Hypopharynx    
咽部的癌症:鼻咽癌,口咽癌及下咽癌
著者:Yi-Shing Leu(呂宜興) ;Jehn-Chuan Lee(李振川)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:癌症 ; 鼻咽 ; 口咽 ; 下咽 ; cancer ; nasopharynx ; oropharynx ; hypopharynx
刊名:Journal of the Chinese Oncology Society
頁碼:102-113
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

主題:頭頸部癌症顧名思義泛指發生在頭頸部的惡性鱗狀上皮癌,範圍包括顏面、上唇、唾液腺、鼻腔及鼻竇、口腔、咽喉、甲狀腺等區域。咽部是肌肉管狀結構,連結鼻腔和口腔,主要的功能為當作氣體及食物的通道。 方法:依照解剖位置,咽部可以分為鼻咽(鼻腔後方),口咽(口腔後方)及下咽(咽喉後方),我們回溯研究國內外論文及本院存活率比較分析。 結果:本院鼻咽癌以同步化學治療及放射治療的2年存活率為第一期100%、第二期83.0%、第三期87.8%、第四期65.9%、全部鼻咽癌病例統計為80.7%,口咽癌治療原則以同步化學治療及放射治療優先,所有病例2年存活率為69.52%。下咽癌的同步化學治療及放射治療組,2年存活率及無病存活率為43.8%及49.4%,手術且術後合併化學治療及放射治療組2年存活率及無病存活率為49.4%及50.0%。 結論:頭頸部癌症的發生率、病理組織型態、危險致病因子等,都相當類似,但是在治療方針及治療效果上,這三種咽部癌症則不盡相同。
Objectives: Head and neck cancers consist of a diverse group of malignancies that range from face, lip, salivary glands and sinuses to oral cavity, pharynx, larynx. The pharynx is the continuation of the nose and mouth. It is a muscular tube that continues downwards through the neck and is responsible for the passage of both air (to the larynx, trachea and lungs) and food (to the esophagus and then stomach). Methods: The pharynx is divided into three different areas based on anatomical location: nasopharynx (behind the nose), oropharynx (behind the mouth), and hypopharynx (behind the larynx). We also reviewed several studies of cancer in pharynx and compared their results with our own clinical data in these papers. Results: In the data of the head and neck team in Taipei Mackay Memorial Hospital, the 3-year overall survival rates for carcinoma of nasopharynx with concurrent chemoradiation (CCRT) were 100% in stage Ⅰ, 83% in stage Ⅱ, 87.8% in stage Ⅲ, 65.9% in stage Ⅳ and 80.7% in all stages. The 2-year overall survival rate for oropharyngeal carcinoma were 69.52% with treatment policy of preferred CCRT. The 2-year overall and disease free survival rates for hypo-pharyngeal carcinoma were, respectively 43.8% and 49.4% for the CCRT group, 49.4% and 50.0% for the operation plus CCRT group. Conclusions: Cancers of the head and neck are often considered together because they share many similarities in incidence, cancer type, predisposing factors, pathological features. However, the treatments and prognoses of these three pharyngeal malignancies are quite different.




本卷期目次
Journal of the Chinese Oncology Society
Carcinoma in the Pharynx: Nasopharynx, Oropharynx and Hypopharynx/ Yi-Shing LeuJehn-Chuan Lee
肝癌術後早期復發的危險因子的探討/ 蔡樹榮陳銘仁張文熊施壽全王鴻源王蒼恩
補充麩胺酸以預防子宮頸癌患者接受化療合併放射治療中引發急性腹瀉的效用評估/ 吳孟浩陳裕仁
Rapidly Progression to Hepatic Failure in Hepatocellular Carcinoma/ Chen-Wang ChangWen-Hsiung ChangShou-Chuan ShihMing-Jen ChenChia-Yuan LiuI-Tsung LinShu-Jung Tsai
Pituitary Apoplexy Following Mild Head Injury Mimicking Bacterial Meningitis/ Lin ChangJen-Ho TsengMuh-Yong YenCherng-Lan JeangSheng-Huang Hsiao
Retroperitoneal Teratoma with Malignant Transformation of Primitive Neuroectodermal Tumor/ Yih-Cherng DuhNei-Lu WangJin-Cherng Sheu
Superior Mesenteric Vein Injury During Right Hemicolectomy for Transverse Colon Cancer/ Ching-Kuo YangChien-Kuo Liu
Original Plexiform Fibrohistiocytic Tumors on Both Thighs/ Chin-Hung WeiNien-Lu WangBe-Fong Chen
Cancer Stem Cells and Sonic Hedgehog Signaling in Head and Neck Cancer: Potential Targets for Overcoming Chemoradiation Resistance/ Yu-Jen ChenYi-Fen WangK. S. Clifford Chao
Biomarkers in Diagnostic Head and Neck Tumor Pathology/ Chi-Kuan Chen
 
   
 
   

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