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Hironori Ishibashi

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    P1.14 - Thymoma/Other Thoracic Malignancies (Not CME Accredited Session) (ID 946)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/24/2018, 16:45 - 18:00, Exhibit Hall
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      P1.14-25 - Pulmonary Metastasis from Oral Cancer – Who Survive Without Recurrence After Pulmonary Metasectomy? (ID 14495)

      16:45 - 18:00  |  Author(s): Hironori Ishibashi

      • Abstract
      • Slides


      Oral cancer often performs local recurrence or a neck lymph node metastasis, so pulmonary metastasis from oral cancer is very rare and there have been few reports.. The aim of this study was to evaluate the efficacy of surgical resection of oral cancer pulmonary metastases.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      Between April 2006 and December 2017, 14 patients with oral cancer pulmonary metastases underwent thoracic operations. We considered their clinicopathological features and prognosis.

      4c3880bb027f159e801041b1021e88e8 Result

      There were ten men and four women with median age of 66.5 years (range, 27-76). All tumors were squamous cell carcinoma. Primary sites were tongue (seven patients), gum (three patients), and the mouth bottom (two patients). Five patients had partial resection and nine patients underwent lobectomy or larger operation. Eight of the nine patients who had lobectomy also had systematic lymph node dissection. Overall survival rate after metastasectomy was 46.9% at five years. Overall survival rate at five years by lobectomy with systematic lymph node dissection tended to have a better prognosis than by partial resection or lobectomy without lymph node dissection(p=0.08). Among the patients who had systematic lymph node dissection, lymph node metastasis were found in five patients. However, three of the five got long-term survival (more than two years) in spite of the metastasis.

      8eea62084ca7e541d918e823422bd82e Conclusion

      For patients with oral cancer pulmonary metastasis, surgical resection especially lobectomy with lymph node desection is recommended.


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