J Korean Med Sci.
2003 Feb;18(1):80-87. 10.3346/jkms.2003.18.1.80.
Epidemiologic Survey of Head and Neck Cancers in Korea
- Affiliations
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- 1Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea. kmkim97@yumc.yonsei.ac.kr
- 2Department of Otorhinolaryngology, Inha University College of Medicine, Incheon, Korea.
- 3Korea Cancer Center Hospital, Seoul, Korea.
- 4Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.
- 5Department of Otorhinolaryngology, Soonchunhyang University College of Medicine, Seoul, Korea.
- 6Department of Otorhinolaryngology, Korea University College of Medicine, Seoul, Korea.
- 7Department of Otorhinolaryngology, Hallym University School of Medicine, Chuncheon, Korea.
- 8Department of Otorhinolaryngology, The Catholic University of Korea, Seoul, Korea.
- 9Department of Otorhinolaryngology, University of Ulsan College of Medicine, Seoul, Korea.
- 10Department of Otorhinolaryngology, Sungkyunkwan University College of Medicine, Seoul, Korea.
- 11National Medical Center, Seoul, Korea.
- KMID: 1099798
- DOI: http://doi.org/10.3346/jkms.2003.18.1.80
Abstract
- Head and neck cancers have never been systematically studied for clinical purposes yet in Korea. This epidemiological survey on head and neck cancer patients was undertaken from January to December 2001 in 79 otorhinolaryngology resident-training hospitals nationwide. The number of head and neck cancer patients was 1,063 cases in the year. The largest proportion of cases arose in the larynx, as many as 488 cases, which accounted for 45.9%. It was followed by, in order of frequency, oral cavity (16.5%), oropharynx (10.0%), and hypopharynx (9.5%). The male:female ratio was 5:1, and the mean age was 60.3 yr. Surgery was the predominant treatment modality in head and neck cancers: 204 (21.5%) cases were treated with only surgery, 198 (20.8%) cases were treated with surgery and radiotherapy, 207 cases (21.8%) were treated with combined therapy of surgery, radiotherapy, and chemotherapy. Larynx and hypopharynx cancers had a stronger relationship with smoking and alcohol drinking than other primary site cancers. Of them, 21 cases were found to be metastasized at the time of diagnosis into the lung, gastrointestinal tract, bone, or brain. Coexisting second primary malignancies were found in 23 cases. At the time of diagnosis, a total of 354 cases had cervical lymph node metastasis accounting for 42.0%.
Keyword
MeSH Terms
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Adolescent
Adult
Aged
Aged, 80 and over
Alcohol Drinking/epidemiology
Carcinoma, Squamous Cell/epidemiology*
Child
Female
Head and Neck Neoplasms/epidemiology*
Health Surveys
Human
Korea/epidemiology
Male
Middle Aged
Neoplasm Metastasis
Neoplasms, Second Primary/epidemiology
Occupations
Registries/statistics & numerical data
Risk Factors
Smoking/epidemiology
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