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Invasions and Metastases of Facial and Neck Skin by Head and Neck Cancer

Other Title
두경부암에 의한 안면부와 경부 피부의 침습과 전이
Authors
최, 은창; 고, 윤우; 김, 문석; 김, 현준; 정, 태영; 최, 재진; 김, 철호; 김, 영호
Citation
Taehan Ibi Inhukwa Hakhoe chi, 44(5):517-521, 2001
Journal Title
Taehan Ibi Inhukwa Hakhoe chi; Journal of the Korean Otolaryngological Society; 대한이비인후과학회지
ISSN
1225-035X
Abstract
Background and Objectives: This study was designed to review the incidence of skin involvement in the head and neck cancer. We also reviewed its pattern, treatment results, and prognostic significance of skin invasion and metastases. Materials

and

Methods: We carried out an retrospective evaluation of 41 patients who required resection of the facial or neck skin during surgery for their head and neck cancer in the last ten years. Patients with head and neck skin cancer were excluded from

this

study. Patients who developed skin involvement were evaluated with regard to the primary origin of tumor, the tumor stage, and the pattern of skin involvement, treatment and outcome. The cases were classified into four groups: firstly, a group

with

the

presence of skin scar made by previous biopsy; secondly, a group with tumor fixed to skin; thirdly, a group with skin resected with a sufficient resection marginal, and lastly a group with gross involvement of skin by tumor. Results: Among 41

patients

who required resection of the skin, patients with skin invasion were noted in 24 cases. Only one out of four cases of the biopsy group had skin involvement whereas a half of the fixed group had skin invasion. For the marginal group, only two

cases

had

invasion of skin. The treatment result of patients with skin involvement had poor prognosis compared to patients without skin involvement. In particular, patients with skin metastasis had extremely poor survival. Conclusions: Skin involvement in

the

head and neck cancer indicates a poor prognosis, and should not be considered for surgery.
Keywords
피부 전이피부 침습두경부암Skin metastasesSkin involvementHead and neck cancer
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Otolaryngology
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