Patel P, Snow G B
Department of Otolaryngology and Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
Acta Otorhinolaryngol Belg. 1992;46(2):141-51.
The status of the cervical lymph nodes is the single most important prognostic factor in head and neck cancer, and the management of metastatic disease plays an important role in the treatment of carcinoma of the larynx. Clinical assessment of the neck is not very accurate, and the role of newer imaging techniques such as CT, MRI and Ultrasound guided Fine Needle Aspiration Cytology is being assessed, in order to improve upon the results of clinical palpation alone. The site of the primary tumour within the larynx is an important factor in affecting the frequency and the pattern of lymph node metastases to the neck. Indications for the use of surgery and radiotherapy for the elective and therapeutic management of lymph node metastases of carcinoma of the larynx are discussed with reference to the various sites of the primary tumour.
颈部淋巴结状况是头颈癌唯一最重要的预后因素，转移性疾病的处理在喉癌治疗中起着重要作用。颈部的临床评估并不十分准确，目前正在评估诸如CT、MRI和超声引导下细针穿刺细胞学等更新的成像技术的作用，以便仅在临床触诊结果的基础上加以改进。喉内原发肿瘤的部位是影响颈部淋巴结转移频率和模式的一个重要因素。本文参照原发肿瘤的不同部位，讨论了采用手术和放疗对喉癌淋巴结转移进行选择性和治疗性处理的适应证。
