Har-El G, Shaha A, Chaudry R, Hadar T, Krespi Y P, Lucente F E
Department of Otolaryngology, SUNY-Health Science Center, Brooklyn, New York.
Head Neck. 1992 Mar-Apr;14(2):99-101. doi: 10.1002/hed.2880140204.
According to common classification and staging systems, tumors of the uvula and soft palate are included in the group of oropharyngeal cancers. As such, the same staging systems apply and therapeutic decisions are made accordingly. Our experience with small tumors of the uvula and midline soft palate has shown that these common rules may not apply in these anatomical sites. A multicenter retrospective study was performed to examine the aspects of presentation and clinical course of tumors of the uvula. Only patients with small tumors, less than 2.0 cm in diameter, were included. Twenty-three cases were reviewed. Eleven (47.8%) patients had clinical or radiologic evidence of neck disease on presentation. Five of 12 (41.7%) patients who presented with negative neck were found eventually to have neck disease. Eight patients had cervical recurrence. Only one patient had local recurrence. We suggest that attention may need to be directed to the treatment of the neck of all tumors of the uvula and midline soft palate, regardless of size.
根据常见的分类和分期系统，悬雍垂和软腭肿瘤被纳入口咽癌组。因此，适用相同的分期系统并据此做出治疗决策。我们对悬雍垂和中线软腭小肿瘤的经验表明，这些常见规则可能不适用于这些解剖部位。进行了一项多中心回顾性研究，以检查悬雍垂肿瘤的表现和临床过程。仅纳入直径小于2.0 cm的小肿瘤患者。回顾了23例病例。11例（47.8%）患者在就诊时具有颈部疾病的临床或影像学证据。12例就诊时颈部阴性的患者中有5例（41.7%）最终被发现患有颈部疾病。8例患者出现颈部复发。仅1例患者出现局部复发。我们建议，无论肿瘤大小，都可能需要关注悬雍垂和中线软腭所有肿瘤颈部的治疗。
