THE VALUE OF FOLLOW-UP IN PATIENTS TREATED FOR SQUAMOUS-CELL CARCINOMA OF THE HEAD AND NECK

被引:171
作者
BOYSEN, M [1 ]
LOVDAL, O [1 ]
TAUSJO, J [1 ]
WINTHER, F [1 ]
机构
[1] UNIV OSLO,RIKSHOSP,DEPT RADIOTHERAPY & ONCOL,N-0027 OSLO 1,NORWAY
关键词
D O I
10.1016/S0959-8049(05)80068-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Clinical findings, treatment and results have been recorded prospectively in 661 patients with carcinoma of the head and neck. With an average follow-up of 3 years 7813 follow-up consultations revealed 220 recurrences. The overall "recurrence pick-up rate" and subsequent "cure rate" was 1:36 and 1:113 consultations, respectively. Laryngeal carcinomas treated with radiotherapy and oral carcinomas receiving radiotherapy and limited resections showed recurrence "cure-rates" of 1:89 and 1:110, respectively. For other tumour sites the average "cure-rate" was 1:238. Only 39% of the recurrences were detected through physical examination. Follow-up consultations revealed 9.1% of second primaries. More time should be spent on training patients to recognise symptoms and signs of recurrence. Routine follow-up is rarely indicated beyond the third year after completion of treatment, or in patients for whom we have little to offer in terms of curative treatment.
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页码:426 / 430
页数:5
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