舌癌远处转移的研究

A Study on Distant Metustasis of the Carcinoma of the Tongue

本文报告了舌癌远处转移的研究，论述了血道扩散与转移的关系，提出了减少远处转移的方法，在１８８例舌癌患者中有１０例远处转移的患者，其中包括了７例肺转移及３例肝转移，肺转移为肝转移的２．３倍。此１０例患者为鳞状上皮癌，腺癌，未分化癌，分化程度谐为Ⅲ￣Ⅳ级，说明病理分级与远处转移有重要关系。

In this paper is reported a study on distant metastasis of the carcinoma of the tongue,the relationship between vascular dissemination ,and the methed to reduce the distant metastasis. Of188 patients , 10 patients saffered distant metastas of the carcinoma of the tongue (5. 3%, 10/188) in-cluding 7 cases of lung metastasis and 3 cases of liver metastasis.The ling metastasis was 2.3 times thatof the live- The 10 patients, according to pathologic classification are squmous cell carcinoma 8 cases,anaplastic carcinoma 1 case, and adenocarcinoma 1 case. All the cases of the classification degre are Ⅲ toⅣ. This shoWed that distant metastasis and pathologic classification degree of the carcinoma were closelyrelated.The patients with the distant metastasis wqumous cell carcinoma accounted for 80 per cen (8/10) .The patients with distant metastasis of carcinoma of the tongue along with neck lymph node's metastasis also made up 80 per cent (8/10) .This indicated that the develOopnt of distant metastasis was sig-nificantly associated with the development of meck metastasis. The best method toprevent from distantmetastasis after operation was the and postoperaive adjuvant chemotherapy, along with the lo-cal infusion chemotherapy during operation.