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Retrospective study on factors affecting the prognosis in oral cancer patients who underwent surgical treatment only

Maxillofacial Plastic and Reconstructive Surgery 2016³â 38±Ç 1È£ p.49 ~ 49
±èº´±¹, Kim Jun-Hwa, ±è¸íÀÎ, ÇÑÁ¤ÁØ, Á¤½Â°ï, ±¹¹Î¼®, ¹ÚÈ«ÁÖ, À¯¼±¿­, ¿ÀÈñ±Õ,
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±èº´±¹ ( Kim Byeong-Guk ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
 ( Kim Jun-Hwa ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
±è¸íÀΠ( Kim Myung-In ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
ÇÑÁ¤ÁØ ( Han Jeong-Joon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
Á¤½Â°ï ( Jung Seung-Gon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
±¹¹Î¼® ( Kook Min-Suk ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
¹ÚÈ«ÁÖ ( Park Hong-Ju ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
À¯¼±¿­ ( Ryu Sun-Youl ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
¿ÀÈñ±Õ ( Oh Hee-Kyun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Background: This study was performed to evaluate their 5-year survival rates and identify the factors affecting the prognosis of oral cancer patients who had undergone surgical treatment only.

Methods: Among 130 patients who were diagnosed with malignant tumor of oral, maxillofacial, and surgical treated in the Department of Oral and Maxillofacial Surgery at Chonnam National University Hospital within a period from January 2000 to December 2010, for 11 years, 84 patients were investigated who were followed up for more than 5 years after radical surgery; oral cancer is primary and received only surgical treatment. The survival rate according to gender, age, type and site of cancer, TNM stage, cervical lymph node metastasis and its stage, recurrence or metastasis, time of recurrence and metastasis, and differentiation were investigated and analyzed.

Results: Overall, 5-year survival rate in patients who received only surgical treatment was 81.2 %, and disease-specific 5-year survival rate was 83.1 %. The disease-specific 5-year survival rate based on TNM stage, metastasis of cervical lymph node, N stage, and presence of recurrence/metastasis was a significant difference (p??0.05).

Conclusions: These results suggest that good survival rate can be obtained with surgical treatment only, and stage of oral cancer, cervical lymph node metastasis and stage, recurrence or metastasis, time of recurrence, and metastasis have a significant effect on survival rate in oral cancer patients.

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Neoplasm metastasis; Oral cancer; Recurrence; Survival rate; TNM classification

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