耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
節骨洞に原発した腺癌の一症例
―当科における節骨洞癌集計的観察―
出島 健司水越 文和西村 秀夫橘 正芳水越 治
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1986 年 79 巻 5 号 p. 735-740

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This is a case report of a 68-year-old male with tumor of the ethmoid sinus diagnosed histologically as adenocarcinoma. The patient had complained of nasal bleeding and was treated with surgery, followed by irradiation, chemotherapy and intraarterial infusion of 5FU. The most important part of the treatment was considered to be surgery. The patient is alive 7 months after the initial treatment without any evidence of recurrence of the tumor.
From 1964 to 1984, 182 patients with carcinoma of the nasal cavity and paranasal sinuses were treated in our university. In 9 cases (4.9%), the primary site was an ethmoid sinus. The histological diagnoses were squamous cell carcinoma (5), undifferentiated carcinoma (3) and adenocarcinoma (1). The 5-year survival rate was 50%, but in cases of undifferentiated carcinoma, or when the eyes were involved, the prognosis was very poor, none of these patients survived for 5 years.
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