舌鳞状细胞癌的颈部淋巴结清扫术。
Neck dissection in squamous cell carcinoma of the tongue.
作者信息
Amar Ali, Curioni Otávio Alberto, Franzi Sergio Altino, Ortelado Daniel Knabben, Rapoport Abrão
机构信息
Department of Head and Neck Surgery and Otorhinolaryngology, Hospital Heliópolis, Hosphel, Sao Paulo, Brazil.
出版信息
Braz J Otorhinolaryngol. 2005 Jan-Feb;71(1):29-31. doi: 10.1016/s1808-8694(15)31281-7. Epub 2006 Jan 2.
AIM
The purpose of this study was to assess the prognosis of patients with tonsillar squamous cell carcinoma with different stages of lymph node involvement and to determine the best elective neck dissection for those cases.
STUDY DESIGN
Case series.
MATERIAL AND METHOD
51 patients with tonsillar tumors were treated between 1992 and 2001. The incidence of different tumor-node-metastasis stages was evaluated according to primary tumor extension.
RESULTS
cN0 patients had metastases in stages I and II only. Among pN+ subjects with stage I metastases, 6/7 had primary tumor extending to oral cavity.
CONCLUSION
Supraomohyoid neck dissection (stages I, II and III) is the elective treatment of choice when tonsillar primary tumor extends to oral cavity. When primary tumors are limited to the oropharynx, selective neck dissection of stages II and III proved to be more adequate.
目的
本研究旨在评估不同淋巴结受累阶段的扁桃体鳞状细胞癌患者的预后，并确定这些病例的最佳选择性颈清扫术。
研究设计
病例系列。
材料与方法
1992年至2001年间对51例扁桃体肿瘤患者进行了治疗。根据原发肿瘤的扩展情况评估不同肿瘤-淋巴结-转移阶段的发生率。
结果
cN0患者仅在I期和II期有转移。在有I期转移的pN+受试者中，6/7的原发肿瘤扩展至口腔。
结论
当扁桃体原发肿瘤扩展至口腔时，肩胛舌骨肌上颈清扫术（I期、II期和III期）是首选的选择性治疗方法。当原发肿瘤局限于口咽时，II期和III期的选择性颈清扫术被证明更为合适。
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