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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/23668

 
Title :沖縄県における頭頸部悪性腫瘍医療の動向
Title alternative :Trends in the treatment of head and neck malignancies in the Okinawa Prefecture
Authors :真栄田, 裕行
Authors alternative :Maeda, Hiroyuki
Authors affiliation :琉球大学大学院医学研究科
Issue Date :Dec-2017
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
Abstract :Head and neck malignant tumors constitute an important area of investigation that is handled by the field of otolaryngology and head and neck surgery; yet, their pathologic etiology, efficacious [A1]treatment modalities, and overall prognosis are not widely understood. In this paper, we discuss the anatomy of the head and neck area, classic carcinogenic mechanisms due to tobacco and alcohol, virogenic driven carcinogenesis, basic concepts and historical changes in the treatment of head and neck cancers, as well as team medicine as a general approach with regard to head and neck cancers. In each section, we present trends in head and neck cancers in the Okinawa Prefecture. Characteristics include, but are not limited to: 1) limited movement of residents under the restraints of an island environment that maintained a genetic background, 2) unbalanced dietary habits, and 3) a high rate of smoking and alcohol consumption; and as a result, the incidence of head and neck cancers was significantly higher than it should be[A2]. According to the 2013-2015 Okinawa Prefecture Cancer Registration, among the head and neck cancer cases, the number of oral and pharyngeal cancers was the highest: with 155 cases in 2015. With respect to registrations per hospital, the number of registrations was the highest at the University of the Ryukyus Hospital (including other head and neck cancers). We also provide details of the treatment results for pharynx, larynx, tongue, and thyroid gland cancers separately. Though treatment results of head and neck cancers have improved in recent years, these treatment modalities still take a significant amount of work. [A3]Without a good human resources system in place, it is not possible and/or appropriate to continue providing high-level medical care. As an important future topic for discussion and examination[A4], the installation of a dedicated head and neck tumor center as well as improvements in pre- and post-support facilities, were suggested.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/23668
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.36 no.1-2 p.17 -23
Appears in Collections:Ryukyu Medical Journal

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