摘要
口腔小涎腺癌的诊断与治疗均有其特殊性，很有深入探讨的必要，本义报道经手术治疗的２５６例，局部切除术１９４例，扩大切除术６２例，又作颈淋巴清扫术者９８例，病检明确淋巴结转移者４５例。部分病例辅以放疗或化疗。随访率为９１％（２３３／２５６），其三年、五年、十年生存率分别为７７．６７％（１６７／２１５）、７１．７６％（１３４／１８７）、６９．９１％（７９／１１３）。本文对病理类型、原发部位、临床表现、手术治疗、颈淋巴清扫、放疗与化疗临床分析，着重讨论了下列问题：１原发灶的手术原则。２．颈淋巴结清扫术的选择。３．放射治疗的地位。４．化学治疗的应用。
his article reports 256 cases of
minor salivary gland carcinoma in seven histologictypes treated excision in 62 cascs, excision
accompanied by neck dissection in 98 cases,surgery with an adjuvant of chemotherapy and/or
radiotherapy in 101 cases. 45 of the 98neck dissection cases revealed cervical nodes
metastasis. Statistical survival rates wereanalyzed for 233 patients. The 3-year survival rate
was 77. 67.%( 167/215) , 5-year survivalrate 71. 76%( 134/187) , 10-year survival rate 69. g1%(
79/113) . These data confirm thatsurgery is still the first mode of choice in the treatment of minor
salivary glandcarcinoma ,but combination with radiotherapy and/or chemotherapy is active in
somepatients. .
出处
《口腔颌面外科杂志》
CAS
1995年第3期135-140,146,共7页
Journal of Oral and Maxillofacial Surgery
