喉癌中的声带固定

Vocal cord fixation in laryngeal carcinoma.

作者信息

Belson T P, Duncavage J A, Toohill R J, Lehman R H

出版信息

Arch Otolaryngol. 1976 May;102(5):281-3. doi: 10.1001/archotol.1976.00780100067007.

DOI:10.1001/archotol.1976.00780100067007

Abstract

The 1962 TNM classification (T, tumor and extent; N, regional lymph node metastasis, M, distant metastasis) did not emphasize vocal cord fixation in staging. In the revision of 1972, lesions with partial fixation were classified T2, stage II, and those causing fixation were T3, stage III. The therapeutic results in 39 patients with fixed cords revealed a determinante five-year survival of 41% and an absolute of 23%. These statistics support the validity of the 1972 classification. Careful evaluation of vocal cord mobility prior to selection of therapy is stressed.

摘要

1962年的TNM分类法（T代表肿瘤及范围；N代表区域淋巴结转移；M代表远处转移）在分期时未强调声带固定情况。在1972年的修订版中，部分固定的病变被归类为T2，II期，而导致固定的病变为T3，III期。对39例声带固定患者的治疗结果显示，其五年确定生存率为41%，实际生存率为23%。这些统计数据支持了1972年分类法的有效性。强调在选择治疗方法之前要仔细评估声带活动度。