最近に於ける喉頭癌の統計的觀察

　最近に於ける放射線療法の進歩によつて喉頭截開術の適應である樣な早期聲帶癌はCntler^1）等によれば外科的手術以上の効果が期待されると云つているが，一方外科的技術の進歩と抗生物質の使用によつて喉頭癌の手術も容易となり特に惡性瘍腫治療の鐵則である早期診斷早期治療の時には我が中村臨床に於ても殆んど100％の手術的効果を擧げているのである。

　又我が臨床を訪れる喉頭癌患者の最近の傾向として轉移を來たし，呼吸困難を訴える樣な症例が多いので最近に於ける喉頭癌の治療成績を統計的に觀察して臨床醫家の猛省をうながしたいと思う。

TAKENAKA AND KURUMA AND TUBA-KIBARA associates review the results of lar-yngeal cancers treated at Professor Nakamura's depaatment in Kyoto University for past 5 years. Their conclusions are as follws:

(1) With laryngotomy there were many ca-ses in whom recurrence of cancer is seen in spite of the fact their indications at the time were considered as good. Irra-diation therapy following the operation seemed to have been or no help.

(2) The results of total laryngectomy proved to be satisfactory, And it appeared that total laryngectomy should be performed even in cases in whom indications are for laryngotomy.

(3) Metastasis when found occurred at the free end of the amputated trachea; care should be taken in the procedure of tracheal amputation.

(4) The boarseness as symptom which app-ears early in the course of laryngeal cancer should be considered with full weight; diagnosis should be established; an early and adequate treatment should be instituted.