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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 37(3); 1994 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(3): 564-74.
Malignant Neoplasms of the Floor of the Mouth : A Clinical Study
Guk Haeng Lee, MD, Yoon Sang Shim, MD, Kyung Kyoon Oh, MD, and Yong Sik Lee, MD
Department of Otolaryngology-Head and Neck Surgery, Korea Caner Center Hospital, Seoul, Korea
구강저 악성종양의 임상적 고찰
이국행 · 심윤상 · 오경균 · 이용식
원자력병원 이비인후과
ABSTRACT

We analyzed retrospectively 90 patients of floor of mouth cancer who had visited Korea Cancer Center Hospital from January 1985 to December 1992. The most prevalent age group was 6th decades and its median age was 58 years. The sex ratio was M : F=5.4 : 1. 78 patients were smoker and 73 patients smoked more than 1 pack per day. 72 patients were drinker and 46 patients were heavy drinker. Tumor staging by AJCC classification, 1992, distributed with stage Ⅰ: 7, stage Ⅱ : 21, stage Ⅲ : 21, stage Ⅳ : 41. Clinically, cervical lymph node metastases were 48(53.3%)cases. Distant metastases were 3 cases, multiple primary cancer were 3 cases. Histopathologically, the squamous cell carcinoma (82 cases) was most common, followed by the adenoid cystic carcinoma (5 cases), mucoepidermoid carcinoma (2 cases) and adenocarcinomas (1 case). Six patients were received surgery, 11 patients radiation therapy, and 35 patients combined therapy. Early stage group(stage Ⅰ & Ⅱ) was treated mainly by surgery or combined therapy, advanced stage group(stage Ⅲ & Ⅳ) by combined therapy or radiation therapy. Overall 5 year survival rate by actuarial method was 36.1% in definitive treatment group(52 patients). In surgery group, 5 year survival rate was 59.5%, in radiation therapy group 16.4%, in combined therapy group 38.7%. 5 year survival rates in definitive treatment group by stage Ⅰ to Ⅳ were 75.0%, 69.6%, 32.3% and 10.9%.

Keywords: Floor of mouthMalignant neoplasm.
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