상기도의 유두종에 대한 임상적 고찰

Papillomas are the common true benign neopastic tumors of the upper aero-digestive tract. They are generally charcterized by slow growth, incidious symptoms, and a tendency for recurrence if incompletely removed. The symptoms produced depend on the location and size of the tumors. They are of particular significance because of their tendency to undergo malignant change (particulary the inverted papilloma) and because of their tendency to recur.

92 patients with papilloma which arose in the upper aero-digestive tract ; 36 papillomas arose in the oropharynx, 29 in the larynx，13 in the nasal cavities and paranasal sinuses, 11 in the oral cavity, 3 in the hypopharynx. 62 patinets were male and 30 were female for a 2.1 : 1 male to female ratio. The peak incidence of age was the fourth and sixth decades with 44.7 year of mean age. 6 patients were noted to have either squamous cell carcinoma or verrucous carcinoma. 2 of 5 inverted papillomas of nasal cavity and 1 buccal mucosa papilloma were the simultaneous presentation of squamous cell carcinoma. 2 laryngeal and 1 nasal papillomas were noted to have carcinomas with 6 to 45 months after diagnosis of papilloma. There were 7 recurrences in laryngeal papillomas with 2 to 47 months after initial diagnosis and surgical excision.