Chin David, Boyle Glen M, Kane Anthony J, Theile David R, Hayward Nicholas K, Parson Peter G, Coman William B
Department of Plastic and Reconstructive Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Br J Plast Surg. 2005 Jun;58(4):466-74. doi: 10.1016/j.bjps.2004.12.025.
Over 90% of all adults human cancers are of epithelial origin comprising mainly of skin and aero-digestive tract cancers. A significant proportion of our discipline's workload consists of management of these cancers. This review article is to provide clinicians with a summary of the current research findings in invasion and metastasis of epithelial cancers and the translation of some of this information to clinical use particularly related to skin and head and neck cancers (HNSCC). Metastasis is the leading cause of death in cancer patients. Although surgical resection of isolated metastases is beneficial for some patients, the overall efficacy of surgery, chemotherapy or radiotherapy is limited. Clearly, with today's advances in surgery a majority of these primary cancers are resectable and a cure attainable if surgeons could control or inhibit metastasis.
超过90%的成人人类癌症起源于上皮组织,主要包括皮肤癌和航空消化道癌。我们学科相当一部分工作量是对这些癌症的管理。这篇综述文章旨在为临床医生总结上皮癌侵袭和转移的当前研究结果,以及将其中一些信息转化为临床应用,特别是与皮肤癌和头颈癌(HNSCC)相关的应用。转移是癌症患者死亡的主要原因。尽管对某些患者而言,手术切除孤立转移灶有益,但手术、化疗或放疗的总体疗效有限。显然,随着当今外科手术的进展,这些原发性癌症中的大多数是可切除的,并且如果外科医生能够控制或抑制转移,就有可能治愈。