舌癌、口底癌非连续性颈淋巴清扫术后复发2例

Two Cases of Recurrence of Tongue Cancer and Bottom-mouth Cancer after Discontinuous Neck Dissection

头颈部鳞癌是一种常见的恶性肿瘤,全球发病率排名第六,每年新增病例约60万例。舌、口底癌约占口腔癌的50%,此区域解剖结构复杂、淋巴回流丰富,容易发生转移。颈淋巴清扫术和术后放化疗是控制颈部复发及转移最有效的方法。本文搜集2020—2022年延边大学附属医院舌、口底癌患者9例,9例患者均行“肿物扩大切除+颈淋巴结清扫术+前臂皮瓣移植术+术后放疗1个月”,其中2例复发。本文报告1例舌癌、1例口底癌术后复发患者,并且就舌、口底癌的术后复发问题进行探讨。

Squamous cell carcinoma of the head and neck is a common malignancy with the sixth highest incidence worldwide,with about 600000 new cases per year.Tongue and bottom-mouth cancers account for about 50%of oral cancers.With complex anatomical structure and abundant lymphatic reflux,this area is prone to metastasis.Neck dissection and postoperative radiotherapy are the most effective methods to control cervical recurrence and metastasis.Nine patients with tongue and bottom-mouth cancer in Affiliated Hospital of Yanbian University from 2020 to 2022 were collected.All the 9 patients received"enlarged tumor resection+neck dissection+forearm flap transplantation+postoperative radiotherapy for 1 month",and 2 of them had recurrence.This paper reports a case of recurrence of tongue cancer and a case of bottom-mouth after operation,and discusses the recurrence of tongue cancer and bottom-mouth after operation.