接受口咽鳞状细胞癌挽救性手术患者的人口统计学因素及临床分期评估
Assessment of demographics factors and clinical staging in patients submitted to salvage surgery for oropharyngeal squamous cell carcinoma.
作者信息
Chedid Helma Maria, Franzi Sérgio Altino
机构信息
Heliopolis hospital-Hosphel, São Paulo, SP.
出版信息
Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):532-6. doi: 10.1016/s1808-8694(15)30599-1.
UNLABELLED
The usual management of upper aero digestive tract squamous cell carcinoma is surgery associated or not to post surgical radiotherapy. Loco-regional relapses constitute the main failure of the initial treatment and early diagnosis justifies the indication of salvage surgery.
AIM
Descriptive analysis of demographic data and staging for salvage surgery of oropharynx tumors.
MATERIALS AND METHODS
We studied retrospectively 78 patients submitted to surgery in all cases; however, just 37 patients received post surgical radiotherapy.
RESULTS
There was a predominance of males in 70 cases, with mean age of 54.2 years, and 54 patients were Caucasian. The patients were classified as T3 and T4 in 38 cases and 40 patients were classified as N0 neck. 35 patients developed loco-regional distant relapses. 17 patients were submitted to salvage surgery and 12 patients were reclassified as T1; 2 patients T2 and in relation to the clinical stage N, 2 patients were N2a and 2 patients N2b. The average age of the patients submitted to salvage surgery was 52.8 years, with predominance of male Caucasians.
CONCLUSION
Clinical stage I and II were accorded salvage surgery.
未标注
上呼吸消化道鳞状细胞癌的常规治疗是手术，可联合或不联合术后放疗。局部区域复发是初始治疗的主要失败原因，早期诊断为挽救性手术的指征提供了依据。
目的
对口咽肿瘤挽救性手术的人口统计学数据和分期进行描述性分析。
材料与方法
我们回顾性研究了78例均接受手术治疗的患者；然而，只有37例患者接受了术后放疗。
结果
70例患者以男性为主，平均年龄54.2岁，54例患者为白种人。38例患者被分类为T3和T4期，40例患者颈部分类为N0。35例患者出现局部区域远处复发。17例患者接受了挽救性手术，12例患者重新分类为T1期；2例患者为T2期，关于临床分期N，2例患者为N2a期，2例患者为N2b期。接受挽救性手术患者的平均年龄为52.8岁，以男性白种人为主。
结论
I期和II期临床患者接受了挽救性手术。
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