摘要
目的:通过32例外耳恶性肿瘤的观察,总结其淋巴转移的临床特点。方法:分析我科手术治疗的32例外耳恶性肿瘤。10例行颈和(或)耳周区域淋巴结清扫术。结果:除外8例基底细胞癌,淋巴转移6例(25%),均为术后局部复发的较晚期外耳恶性肿瘤。转移分布:Ⅱ区、耳前腮腺区及耳后乳突区。结论:外耳肿瘤(尤其复发癌)淋巴转移并非少见,晚期或复发外耳恶性肿瘤淋巴转移率高。应手术彻底清除原发灶并积极行淋巴结清扫。
出处
《中国误诊学杂志》
CAS
2008年第21期5236-5237,共2页
Chinese Journal of Misdiagnostics
参考文献3
-
1Federspil PA,Pauli UC,Federspil P. Squamous epithelial carcinomas of the external ear[J].HNO,2001,49(4):283 -288.
-
2Shockley WW,Stucker FJ Jr. Squamous cell carcinoma of the external ear:a review of 75 cases[J]. Otolaryngol Head Neck Surg,1987,97(3):308-312.
-
3Estrem SA, Renner GJ. Special problems associated cutaneous carcimoma of the ear Otolaryngol[J]. Clin North Am,1993,26 (2),231-245.
同被引文献31
-
1白云波,尹金淑,张丽琴.外耳道腺样囊性癌[J].临床耳鼻咽喉科杂志,2004,18(4):202-203.
-
2Moody SA, Hirsch BE, Myers EN. Squamous cell carcinoma of the external auditory canal: an evaluation of a staging sys- tem[J]. The American Journal of Otology, 2090, 21: 582.
-
3Essig GF, Kitipornchai L, Adams F, et al. Lateral temporal bone resection in advanced cutaneous squamous cell carcinoma: report of 35 patients[J]. Journal of Neurological Surgery Part B, Skull base, 2013, 74: 54.
-
4Thomas DJ, King AR, Peat BG. Excision margins for non- melanotie skin eancerEJ]. Plastic and Reconstructive Surgery, 2003, 112: 57.
-
5Gulleth Y, Goldberg N, Silverman RP, et al. What is the best surgical margin for a Basal cell carcinoma: a meta-analysis of the literature[J]. Plastic and Reconstructive Surgery, 2010, I26 : 1222.
-
6Kadakia S, Saman M, Gordin E, et al. The role of parotidec tomy in the treatment of auricular squamous eel[ carcinoma [J]. Otolaryngology-Head and Neck Surgery, 2015, 152: 1048.
-
7Brantsch KD, Meisner C, Schonfisch B, et al. Analysis of risk factors determining prognosis of cutaneous squamous- cell carcinoma: a prospective study[J]. The Lancet Oneology, 2008, 9: 713.
-
8Bumpous J. Metastatic cutaneous squamous cell carcinoma to the parotid and cervical lymph nodes: treatment and outcomes [J]. Current Opinion in Otolaryngology -y- Head and Neck Surgery, 2009, 17: 122.
-
9Zhang T, Dai C, Wang Z. The misdiagnosis of external audi- tory canal carcinoma[J]. European Archives of Oto-rhino- laryngology, 2013, 270: 1607.
-
10Nyrop M, Grontved A. Cancer of the external auditory canal [J]. Archives of Otolaryngology- Head -- Neck Surgery, 2002, 128: 834.
-
1吴芸,唐勇.阴茎癌腹腔镜下区域淋巴结清扫术围手术期护理[J].广西医科大学学报,2013,30(3):490-492. 被引量:1
-
2刘顺华.胸段食管癌三区域淋巴结清扫术并发症的护理[J].护士进修杂志,2000,15(10):793-794. 被引量:1
-
3吴君旭,于在诚.胸段食管癌喉返神经周围淋巴结清扫的临床意义[J].安徽医科大学学报,2006,41(6):713-714. 被引量:6
-
4吴曦,胡康.胃平滑肌肉瘤14例诊治体会[J].广东医学,1997,18(9):587-588.
-
5张速勤,李兆基.外耳道腺样囊性癌(附5例报告)[J].耳鼻喉学报,1996,10(2):65-66.
-
6宋永欣.探讨如何治疗外耳肿瘤[J].家庭心理医生,2014,10(7):106-106.
-
7许贤荣,俞力超,李峰,施舜缤,蒋志华,刘传信.三区域淋巴结清扫术治疗胸段食管癌临床研究[J].牡丹江医学院学报,2007,28(6):44-46. 被引量:3
-
8张焕清.两种开窗术治疗耳廓假性囊肿[J].苏州医学院学报,1996,16(6):1163-1163.
-
9祝亚猛,张朝选,李树庆,张春波.外耳道腺样囊性癌1例[J].诊断病理学杂志,2001,8(3):192-192.
-
10谢雪颜.耳廓巨大肿瘤患者围手术期的护理1例[J].实用护理杂志,2002,18(8):35-36. 被引量:5