EN

台耳醫誌

雜誌專區 -第60卷第1期

原著 
Palliative Tumor Resection for Patients with Incurable Head and Neck Cancers: Experience  僅供有效會員 登入會員查看全文
22~27 
英文 
incurable head and neck cancers、palliative tumor resection 
Yi-Chen Lin1 、Peir-Rong Chen1,2  
Department of Otolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation1 、Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Tzu Chi University, Hualien2  
BACKGROUND: This study reviews our experience with palliative local tumor resection in patients with incurable head and neck cancers (IHNCs) to delineate the benefits of surgery in the course of palliative care.
METHODS: A retrospective review was conducted on 13 patients with IHNCs who underwent palliative local tumor resection at Hualien Tzu Chi Hospital from 1998 to 2022. Their demographics, cancer type, site, and stage, performance status, and purpose of palliative tumor resection were analyzed.
RESULTS: Thirteen charts were reviewed: 10 (77%) were male patients and 3 (23%) were female patients, with a median age of 61 years (range: 50–92 years). Nine (69%) of 13 patients had squamous cell carcinoma. Tumors were mainly located in the oral cavity (54%). The most common cancer stage was IVC, followed by IVA and IVB. The main purposes of palliative tumor resection was to control cancerous wound infections, followed by pain management, large tumor debulking, bleeding control, and cosmetic concerns.
CONCLUSION: Palliative tumor resection can be considered an option for some patients with IHNCs. Careful clinical planning and effective shared decision-making are required to define the purpose of treatment. These surgeries can improve patient quality of life, survival, and dignity. (J Taiwan Otolaryngol Head Neck Surg 2026; 60:22-27) 
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