구강암 환자에 대한 후향적 연구

Retrospective study of the oral cancer patients : a statistical analysis of 89 cases

Retrospective study of 89 oral cancer patients from Jan. 1987 to Dec. 1994, who have been treated at the Department of Oral and Maxillofacial Surgery, Chonnam University Hospital, was performed to assess or, if needed, to revise our present treatment protocol. The analysis was focused on the clinical and histopathological findings, treatment methods and their results. The results obtained were as follows: The histologic diagnosis of oral cancer was mostly squamous cell carcinoma followed by malignant melanoma, malignant fibrous histiocytoma. Tie lapse from the recognition of initial symptoms to the first visit was mostly less than 3 months. T4 was the most frequent followed by T3, T2, T1. The situation was the same for the clinical stage. The degree of histopathological differentiation of oral squamous cell carcinoma was in the order of well, moderate, poor differentiated type. T4 was common at maxillary sinus, maxillary and mandibular alveolus and T2 was common at mouth floor. Most cases were treated by combined therapy consisted of presurgical chemotherapy. Surgical resection and postoperative radiation therapy. In 35 cases. Surgical resection was performed. Immediate reconstruction was done in 22 cases and secondary reconstruction was done in 8 cases. The periods between primary surgery and reconstruction were 12.4 months in average. In 26 cases out of 89 cases, recurrence or metastasis was confirmed. The latest follow-up revealed that 33 patients were still alive while 35 were expired due to the malignancy.