Artikel
Management of oropharyngeal cancer in Cluj-Napoca ENT Department, Romania
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Veröffentlicht: | 22. April 2008 |
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Introduction: Despite the recent progresses in medicine, the oncological pathology is still a major challenge for many physicians.
Methods: A retrospective study was performed in the ENT Department from Cluj-Napoca, Romania on a period of 10 years (1995– 2005) when were treated over 3113 patients with head and neck cancer.
Results: The distribution of the cases was the following: a total of 3113 cancers, from which there were 684 patients with oral cavity cancer (22% ), 1371 patients had larynx cancer (44%), 467 Oropharynx cases (15%), 156 hypopharynx cases (5%), 156 major salivary gland cases (5%), 124 nasopharynx cases (4%), 143 nose and paranasal sinuses cases (4,6%) and 12 melanoma cases (0,4%). The modalities of treatment in ENT Clinic Cluj-Napoca were: surgery, radiation, combined surgery and radiation therapy, chemotherapy and chemoradiotherapy. Complications after surgical procedures were wound infection at 21% (98p), aspiration at 4% (18p), dysphagia at 43% (201p), nasal regurgitation at 15% (70p), hypernasal speech at 24% (112p), Eustachian tube dysfunction at 4% (18p), positive margins at 11% (51p), nonunion (mandibular complication) at 3% (15p), malunion (mandibular complication) at 1% (4p) and malocclusion (mandibular complication) at 4% (18p), where p=patient.
Conclusion: Surgery and radiotherapy are standard treatments. In advanced disease, chemotherapy may be useful as an adjunct to surgery and or radiation.