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颊黏膜鳞癌颈淋巴结转移规律与颈淋巴清扫的研究

A Study of Cervical Lymph Nodes Metastatic Rule and Neck Dissection in Patients with Buccal Squamous Cell Carcinoma
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摘要 [目的]探讨颊黏膜鳞癌的颈淋巴结转移分布规律和颈淋巴清扫的关系。[方法]对浙江省肿瘤医院头颈外科1990年1月 ̄2004年12月行颈淋巴清扫的52例颊黏膜鳞癌进行回顾性分析。[结果]颊黏膜鳞癌颈淋巴结转移率为26.9%(14/52),各区淋巴结转移率Ⅰ区为40.6%,Ⅱ区34.4%,Ⅲ区25.0%,Ⅳ区0。分期中T1与T2及T3与T4之间颈淋巴结转移率无显著差异(P>0.05),但T1、T2与T3、T4之间随分期增高而颈淋巴结转移率明显增加(P<0.01)。颊黏膜鳞癌随分化程度的变差,区域淋巴结转移率增加。[结论]对于颊黏膜鳞癌,可以择区清扫Ⅰ、Ⅱ、Ⅲ区淋巴结,Ⅳ区清扫一般仅适合于病理类型为低分化癌者;T3、T4的需要行胸大肌等皮瓣修复的患者;临床淋巴结转移为N2的患者。 [Purpose]To investigate the relationship between the distribution of metastatic lymph node and neck dissection in patients with buccal squamous cell carcinoma.[Methods]Fifty-two patients with buccal squamous cell carcinoma undergoing neck dissection in Zhejiang Cancer Hospital from January 1990 to December 2004 were reviewed retrospedtively.[Results] The lymph node metastatic rate was 26.9% in buccal squamous cell carcinoma ,and the rates of different levels were as follows:level Ⅰ,40.6%;level Ⅱ,34.4%;levelⅢ,25.0%;and level Ⅳ,0.The lymph node metastatic rete was not singificanrly different between T1 and T2,and between T3 and T4(P〉0.05),but the rate was higher in T3+T4 group than that in T1+T2 group(P〈0.01).The lymph node should be dissected rate incraesed with decreasing of differentiation .[Conlusion] Ⅰ,Ⅱ and Ⅲ level lymph node should be dissected in buccal cancar patients ,and the level Ⅳ node dissection is suitable for low differentiation cancer;stage T3 or T4 with flaps reconstruction and N2 node metastasis.
机构地区 浙江省肿瘤医院
出处 《中国肿瘤》 CAS 2006年第4期255-257,共3页 China Cancer
关键词 口腔黏膜 口腔肿瘤 肿瘤 鳞状细胞 淋巴转移 颈淋巴结清扫术 cheek mouth mucosa mouth neoplasms neoplasms,squamous cell lymphatic metastasis radical neck dissection
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  • 1李晓明,李兰,韦霖.头颈部鳞癌颈淋巴结转移方式的临床病理学研究[J].中华耳鼻咽喉科杂志,1996,31(4):206-209. 被引量:18
  • 2刘少臣,赵福运,贲呈瑞.影响舌鳞癌淋巴结转移的临床和病理因素评价[J].中华口腔医学杂志,1996,31(5):259-262. 被引量:25
  • 3李金荣,杨宏宇.选择性颈淋巴清扫术及其适应证的评价[J].口腔医学纵横,1996,12(4):205-208. 被引量:8
  • 4邱蔚六主编.口腔颌面外科理论与实践:第2版[M].北京:人民卫生出版社,2000.19-50.
  • 5Spiro RH, Morgan GJ, Strong EW, et al. Supraomohyoid neck dissection. Am J Surg, 1996,172:650-653.
  • 6Houck JR, Medina JE. Management of cervical lymph node of squamous carcinomas tithe head and neck. Semin Surg, 1995,11(4):228-239.
  • 7Shah JP, Medina JE, Shaha AR, et al. Cervical lympha metastasis. Curr Prebl Surg, 1993,30(3) :275-335.
  • 8Van den Brekel MW, Snow GB. Assessment of lympy node metastasis in the neck. Eur J Cancer, 1994,30B(2):88-92.
  • 9Kowalski LP, Bagietto R, Lara JR, et al. Prognostic significance of the distribution of neck node metastasis from oral carcinoma[J]. Head Neck, 2000,22(3):207-214.
  • 10Noguehi M, Kido Y, Kubota H. et al. Prognostic factors and relative risk for survival in N1-3 oral squamous cell carcinoma:a multivariate anlysis using Cox's hazard model [J]. Br J Oral Maxillofac Surg, 1999,37(6) :433-437.

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