Gan to kagaku ryoho. Cancer & chemotherapy
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Gan To Kagaku Ryoho · Apr 1990
Review[Recent advances in rehabilitation of head and neck cancer patients].
This paper describes recent advances in surgical and behavioral rehabilitation for voice, speech and swallowing disorders caused by surgeries for head and neck cancer. Voice disorders result from total laryngectomy, partial laryngectomy and vocal fold laser surgery. Voice prostheses have been recently employed as one of the choices for laryngectomized patients. ⋯ Surgical treatment and swallow therapy are employed. Surgical treatment is divided into five groups: surgery for velopharyngeal incompetence, those for glottic incompetence, laryngeal suspension surgery, narrowing surgery of the pharynx and cricopharyngeal myotomy. Some cases are described for each treatment modality.
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Gan To Kagaku Ryoho · Apr 1990
Case Reports[A case of pleural effusion secondary to breast carcinoma responding to treatment based upon thoracoscopic findings].
Patients with metastatic breast carcinoma often present symptomatic pleural effusions. A 67-years-old woman, who had undergone right radical mastectomy 7 years previously for right breast carcinoma, developed massive right pleural effusion. ⋯ On biopsy, it was found to be adenocarcinoma which was considered to have invaded the pleura directly from the mediastinum. She was treated with linac X-ray irradiation focused on the pleural metastasis and systemic chemotherapy (CMF), and resulted in a gradual decrease and final disappearance of the pleural effusion.