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Treatment of carcinoma of the hypopharynx
Author(s) -
Inoue Toshihiko,
Shigematsu Yasushi,
Sato Takeo
Publication year - 1973
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197303)31:3<649::aid-cncr2820310324>3.0.co;2-b
Subject(s) - medicine , radiation therapy , carcinoma , surgery , radiology
One hundred and eighty cases of carcinoma of the hypopharynx are reviewed. The overall 5‐year survival rate was 24%. Early carcinoma of the hypopharynx (T1NO) has been well controlled by radical radiotherapy. Carcinoma of the posterior pharyngeal wall without nodal involvement is also found to be successfully managed by radiotherapy alone. For patients with T3 carcinoma of the hypopharynx or with nodal disease, it is rational to start with large field radiotherapy encompassing the whole neck. Depending on the tumor response at a dose of 4,000 rads in 4 weeks, a decision is to be made whether to give additional curative radiotherapy with decreased field size, or to give surgical management. In planning treatment portals, special attention should be paid to the topographic distribution of the neck node which is closely related to the original site of primary lesion of carcinoma of the hypopharynx. Patients of local recurrence after radiotherapy were often salvaged by surgery. There was a high incidence of other primary cancers in our series.