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喉癌和下咽癌手术治疗中的陷阱

Pitfalls in the surgical management of cancer of the larynx and hypopharynx.

作者信息

Thabet M H, Talaat M, Rizk A M

机构信息

Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, University of Alexandria, Fakhry Hospital, Saudi Arabia.

出版信息

Otolaryngol Head Neck Surg. 2000 Oct;123(4):482-7. doi: 10.1067/mhn.2000.105062.

DOI:10.1067/mhn.2000.105062
PMID:11020190
Abstract

This article is based on findings in 180 patients with cancer of the larynx and hypopharynx. Positive margins were found in 12.2% (22/180) of all tumors, 12.5% (8/64) of supraglottic tumors, 16% (4/25) of transglottic tumors, 5.3% (2/38) of glottic tumors, 11.1% (2/18) of pyriform fossa tumors, 50% (3/6) of posterior pharyngeal wall tumors, and 10.6% (3/29) of postcricoid tumors. The relationship between the inadequate surgical margins of the specimens, tumor spread, preoperative CT findings, and surgical procedures performed have been correlated.

摘要

本文基于对180例喉癌和下咽癌患者的研究结果。在所有肿瘤中,12.2%(22/180)的病例切缘阳性,声门上区肿瘤为12.5%(8/64),跨声门肿瘤为16%(4/25),声门肿瘤为5.3%(2/38),梨状窝肿瘤为11.1%(2/18),下咽后壁肿瘤为50%(3/6),环状软骨后肿瘤为10.6%(3/29)。已对标本手术切缘不足、肿瘤扩散、术前CT检查结果和所实施的手术操作之间的关系进行了关联分析。

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