ナカミゾ　ムネナガ   中溝　宗永    所属   医学部 医学科（東京女子医科大学病院）    職種   特任教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Surgical treatment for pulmonary metastases of squamous cell carcinoma of the head and neck.
掲載誌名	正式名：American journal of otolaryngology 略　 称：Am J Otolaryngol ISSNコード：01960709/01960709
掲載区分	国外
巻・号・頁	18(6),pp.391-395
著者・共著者	NIBU Kenichi, NAKAGAWA Ken, KAMATA Shin-etsu, KAWABATA Kazuyoshi, NAKAMIZO Munenaga, NIGAURI Tomohiko, HOKI Katsufumi
発行年月	1998
概要	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.
DOI	10.1016/s0196-0709(97)90059-4
PMID	9395015