PANENDOSCOPIC EXAMINATION OF THE UPPER AERODIGESTIVE TRACT FOR THE DETECTION OF SECOND PRIMARY CANCERS IN HEAD & NECK CANCER PATIENTS

두경부암종 환자에서 상부 호흡소화기관에 병발한 원발성 중복암의 진단적 종합내시경검사

  • 김기범 (중앙대학교 의과대학 이비인후과학교실) ;
  • 황찬승 (중앙대학교 의과대학 이비인후과학교실) ;
  • 양훈식 (중앙대학교 의과대학 이비인후과학교실)
  • Published : 1996.11.01

Abstract

The increasing incidence of multiple primary carcinomas occuring in the upper aerodigestive tract is well documented, with the accepted incidence being as high as 20-30%. The fiberoptic endoscopy has also enabled visualization of areas previously inaccessible without general anesthesia. A prospective panendoscopic examination of the upper aerodigestive tract was peformed on 104 patients with squamous cell carcinoma of head & neck in our hospital between 1989 and 1994. Five second primary cancers (4.8% :2 stomach, 2 esophagus, 1 lung cancers) were detected endoscopically. These finding should reinforce the belief that head & neck cancer is a panmucosal disease of the aerodigestive tract that silent second primary cancers are not uncommon. So every effort should be done to detect second primary cancers in head & neck squamous cell carcinomas. Panendoscopy has proved valuable in achieving that.