著者

遠藤 哲夫 佐藤 方信 吉田 博 矢川 寛一

出版者

一般社団法人 日本内分泌学会

雑誌

日本内分泌学会雑誌 (ISSN:00290661)

巻号頁・発行日

vol.54, no.9, pp.1007-1015, 1978-09-20 (Released:2012-09-24)

参考文献数

22

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A total of 747 cases of malignant neoplasms of the thyroid reported in the “Annual of the Pathological Autopsy Cases in Japan” during the past 5 years (1969-1973) were reviewed and statistically analysed.Histological diagnosis in this series were papillary carcinoma in 323 cases (51.8%), follicular carcinoma in 143 cases (22.9%) and anaplastic carcinoma in 102 cases (16.3%). The average age of patients at autopsy was 58 years for papillary carcinoma cases, 62.4 years for follicular carcinoma cases and 61.7 years for anaplastic carcinoma cases. The incidence of metastasis to lymph nodes and to organs was 47.3% and 51.5%, respectively in cases of follicular carcinoma and 73.3% and 98.0%, respectively in cases of anaplastic carcinoma. Autopsy revealed an otherwise unnoticed thyroid cancer in 457 cases, which accounted for 61.2% of the entire autopsy cases of malignancy of this organ. A so-called multiple cancer, i.e. the concurrence of carcinomas in the thyroid gland and other organs, was seen in 239 cases (32.3%).

著者

佐藤 方信 及川 優子 古屋 出

出版者

岩手医科大学歯学会

雑誌

岩手医科大学歯学雑誌 (ISSN:03851311)

巻号頁・発行日

vol.30, no.1, pp.53-64, 2005-04-25

被引用文献数

2

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Autopsy cases of tongue cancer in Japan were statistically analyzed. Autopsy cases were collected from the Annual of Pathological Autopsy Cases in Japan over the past five years (1997-2001). Tongue cancer was reported in 321 autopsy cases(M:241, F:79, Unknown: 1). The autopsy rate was 6.0% of 5,320 patients who died of tongue cancer in Japan. 103 of the autopsied patients (32.2%) were in their seventh decade, 74 (23.1%) were in their eighth decade, and 54 (16.9%) were in their sixth. Histologically, almost all the cases showed squamous cell carcinoma (96.8%). The cancer arose most frequently in the lateral borders (66.1%) of the tongue. Multiple primary cancers, affecting both the tongue and other organs, were found in 113 cases. The mean ages of only the autopsied cases of squamous cell carcinoma excluding the cases of multiple primary cancers were 63.8±10.1 (1997), 57.7±12.3 (1998), 65.4±13.6 (1999), 61.7±15.4 (2000) and 62.1±14.9 (2001) years old. However, the mean ages of multiple primary cancers, affecting both the tongue and the other organs, were 69.2±9.9 (1997), 70.5±11.2 (1998), 66.6±10.2 (1999), 68.2±11.6 (2000) and 69.9±15.5 (2001) years old. In cases of double cancers including tongue cancer, commonly occurring cancers were lung, liver, esophagus, thyroid and adrenal. Metastasis to other organs was frequently found in the tracheobronchus and lungs, liver, heart and aorta, bones, adrenals and thyroid. Metastasis to the lymph node was found in the cervix, lung hilum, periesophagus and peritrachea, left supraclavicula, and axilla. The most common cause of death was pulmonary infection.