반전성 유두종의 병기 구분에 따른 임상적 분석

조진희; 정현철; 이창훈; 강준명; 김병국; 김성원; 김수환

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자료유형: 학술저널

저자정보: 조진희 정현철 이창훈 강준명 김병국 김성원 김수환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제52권 제1호

발행연도: 2009.1

수록면: 41 - 45 (5page)

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Background and Objectives：The purpose of this work is to evaluate our results in the treatment of the nasal inverted papillomas according to staging system using a retrospective case series. Subjects and Method：Between March, 1997 and July, 2007,we treated 157 patients with nasal inverted papillomas. A retrospective assessment was performed to evaluate the demographic data, clinical presentations, and involved site of tumor. Inclusion criteria for the study required a histologically proven case of inverted papillomas and a minimum of 12 months follow-up period. All patients were staged according to the Krouse’s staging system and a new staging system by Citardi et al. We compared the recurrence rate according to the tumor stage. Results：The median age was 53.7 years (range 21 to 81 years) with males comprising 71%. The most frequent presenting complaint was nasal obstruction. The most common site of involvement was the lateral nasal wall. According to the Krouse’s staging system, T1, T2, T3 and T4 were 29 (19.3%), 69 (46%), 51 (34%) and 1 (0.7%). According to the staging system by Citardi et. al., groups A, B and C were 98 (65.3%), 51 (34%) and 1 (0.7%). The recurrence rates of T1, T2, T3 and T4 were 3 (10.3%), 8 (11.6%), 8 (15.7%) and 1 (100%). The recurrence rates of group A, B and C were 11 (11.2%), 8 (15.7%) and 1 (100%). Conclusion：The Krouse’s staging system, based on the involvement of IP, is a simple tool for grading IP. The new staging system by Citardi et. al. provides information about recurrence rates after surgery. Both staging system could provide important objective data for preoperative planning and prognosis.

#반전성 유두종·임상 분석·병기 분류 #Inverted papilloma·Clinical analysis·Staging system

참고문헌 (14)

참고문헌 신청

Cannady SB / 2007 / Citardi MJ. New staging system for sinonasal inverted papilloma in the endoscopic era / Laryngoscope 117 (7) : 1283 ~ 1287

Chang Y / 1998 / Inverted papilloma of the nose and paranasal sinuses: Treatment outcomes of 76 cases / J Rhinol 5 (2) : 98 ~ 102

Hyams VJ / 1971 / Papilloma of the nasal cavity and paranasal sinuses: A clinicopathologic study of 315 cases / Ann Otol Rhinol Laryngol 80 (2) : 192 ~ 206

Klimek T / 2000 / Inverted papilloma of the nasal cavity and paranasal sinuses: Clinical data, surgical strategy and recurrence rates / Acta Otolaryngol 120 (2) : 267 ~ 272

Krouse JH / 2000 / Development of a staging system for inverted papilloma / Laryngoscope 110 (6) : 965 ~ 968

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