摘要
目的 探讨舌鳞癌颈转移的发生规律以及对cN0 (临床不怀疑转移 )患者的治疗原则。方法 通过对4 39例舌癌患者的临床资料进行回顾性分析。结果 舌鳞癌的总体转移率为 4 2 14 % ,cN0 患者的颈淋巴结隐匿性转移率为 2 6 6 6 % ,舌鳞癌的隐匿性转移与肿瘤T分期等密切相关。结论 临床上应根据原发灶的大小等综合考虑分析 。
Objective To investigate the regularity of cervical lymph node metastasis in the tongue squamous cell carcinomas patients and the treatment principle to the cN 0 patients. Methods By retrospective analysis of 439 squamous cell carcinoma of oral cavity cases underwent neck dissection between 1980～2001. Results The total rate of cervical lymph node metastasis of tongue squamous cell carcinoma is 43.96%; the rate of occult metastasis is 26.66%, the incidence of occult metastasis was closely related to the staging of T. Conclusion This study revealed that the therapy regime of the tongue squamous cell carcinoma should be based on the careful clinical examination of primary lesion according to the size and the compositive analysis of cervical lymph node.
出处
《口腔颌面外科杂志》
CAS
2003年第1期25-27,共3页
Journal of Oral and Maxillofacial Surgery
关键词
舌鳞癌
隐匿性转移
选择性颈淋巴清扫术
Tongue squamous cell carcinoma
Occult metastasis
Elective neck dissection
