涎腺癌颈部的处理

Management of the neck in salivary gland carcinoma.

作者信息

Gold Daniel R, Annino Donald J

机构信息

Department of Otolaryngology, Tufts University School of Medicine, New England Medical Center, 750 Washington Street, Boston, MA 02111, USA.

出版信息

Otolaryngol Clin North Am. 2005 Feb;38(1):99-105, ix. doi: 10.1016/j.otc.2004.09.006.

DOI:10.1016/j.otc.2004.09.006

PMID:15649502

Abstract

Major salivary gland malignancies are rare. Treatment of the primary tumor involves resection with or without postoperative radiation therapy. When there is clinical neck disease, neck dissection is performed to remove gross disease. Treatment of the N0 neck is controversial. Most centers treat the high-risk patient and perform either elective neck dissection or elective neck irradiation to eradicate residual occult disease.

摘要

大唾液腺恶性肿瘤较为罕见。原发性肿瘤的治疗包括手术切除，术后可辅以或不辅以放射治疗。当存在临床颈部病变时，需行颈部清扫术以清除肉眼可见的病变。对于N0颈部的治疗存在争议。大多数中心对高危患者进行选择性颈部清扫术或选择性颈部放疗，以根除残留的隐匿性疾病。