[口腔和口咽鳞状细胞癌早期淋巴结阶段的扩大肩胛舌骨肌上颈部淋巴结清扫术]

[Extended supraomohyoid neck nodes dissection in early nodal stages of oral cavity and oropharynx squamous cell cancer].

作者信息

Krakowczyk Łukasz, Szymczyk Cezary, Wierzgoń Janusz, Maciejewski Adam, Półtorak Stanisław

机构信息

Klinika Chirurgii Onkologicznej i Rekonstrukcyjnej, Centrum Onkologii, Instytut Onkologii im. Marii Skłodowskiej Curie w Gliwicach.

出版信息

Otolaryngol Pol. 2008;62(3):316-20. doi: 10.1016/S0030-6657(08)70262-2.

DOI:10.1016/S0030-6657(08)70262-2

PMID:18652157

Abstract

BACKGROUND

Extended supraomohyoid neck nodes dissection (ESOHND) involves surgical resection of nodal levels from I to IV. The incidence of occult metastases in level V is rare and mainly depends of the location and size of the primary tumour in oral cavity and oropharynx squamous cell cancer.

AIM

The aim of this study was to present the results of treatment with extended supraomohyoid neck dissection.

METHODS

The records of 72 patients with cancer of the oral cavity undergoing extended supraomohyoid neck dissection (ESOHND) during the period 15.12.2003 - 13.06.2005 were reviewed.

RESULTS

Tumor and nodal stage were: T2-9(13%), T3-39(54%), T4-24(33%), N0-14(19%), N1-31(43%), N2-25(35%), N3-2(3%). 64 patients were treated with surgery and postoperative adjuvant radiotherapy. The follow-up period ranged from 11 to 27 months. The surgical failure rate was 8% (occurred in 6 of 72 patients).

CONCLUSIONS

Preliminary analysis suggests extended supraomohyoid neck nodes dissection to be considered as a therapeutic and diagnostic procedure in patients with squamous cell cancer of oral cavity and oropharynx.

摘要

背景

扩大的舌骨上颈淋巴结清扫术（ESOHND）包括对I至IV级淋巴结进行手术切除。V级隐匿性转移的发生率很低，主要取决于口腔和口咽鳞状细胞癌原发肿瘤的位置和大小。

目的

本研究的目的是展示扩大的舌骨上颈清扫术的治疗结果。

方法

回顾了2003年12月15日至2005年6月13日期间72例行扩大的舌骨上颈清扫术（ESOHND）的口腔癌患者的记录。

结果

肿瘤和淋巴结分期为：T2 - 9例（13%），T3 - 39例（54%），T4 - 24例（33%），N0 - 14例（19%），N1 - 31例（43%），N2 - 25例（35%），N3 - 2例（3%）。64例患者接受了手术及术后辅助放疗。随访期为11至27个月。手术失败率为8%（72例患者中有6例出现）。