Therapy associated death in oral cancers

• Published in: Stomato-pharyngology Vol. 10; no. 3; pp. 411 - 417
• Main Authors: Yamada, Hiroyuki, Kato, Akihiko, Ishinaga, Hajime
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Stomato-pharyngology 1998
• Subjects: oral cancer; radiation-associated pneumonia; renal failure; therapy-associated death
• ISSN: 0917-5105; 1884-4316
• DOI: 10.14821/stomatopharyngology1989.10.411

From 1989 to 1996, 44 patients with oral cancer were treated at Yamada Red Cross Hospital, and 19 patients of this group died. Ten patients were recognized as having recurrence in primary regions, and 4 had recurrence in the neck region. Death not associated with oral cancers was reported for 7 patients, and we had 4 patients whose death was associated with therapy. In these 4 patients, postoperative renal failure was noted in 2 patients, postoperative acute pancreatitis in 1 patient, and post irradiation pneumonia in 1 patient. The following are essential for the prevention of therapy associated death; 1) Sufficient general evaluation prior to therapy; 2) Adequate selection of the therapy corresponding to the patient; 3) Careful and safe operation; 4) Frequent and sufficient examinations for cardio-pulmonary and renal functions in the postoperative period.