[使用二氧化碳激光对T1期声门癌进行阴性声带切除术标本分析]
[Analysis of negative cordectomy specimens using CO2 laser for T1 glottic cancer].
作者信息
Guo Hongguang, Lu Ping, Li Jinrang, Su Jianjun
机构信息
The Center of Otolaryngology, PLA Navy General Hospital, Beijing, 100048, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 May;25(9):412-4.
OBJECTIVE
This study determined presence or absence of residual cancer in the surgical specimen and analyzed outcomes.
METHOD
A retrospective study of 57 patients with glottic carcinoma (7 Tis, 47 T1a, and 3 T1b) treated from January 2000 to February 2010. All histological slides from the 57 patients were re-examined under the light microscope by the pathologist and the surgeon. We performed multiple biopsies and intraoperative biopsy as a diagnostic procedure.
RESULT
There were 5, 4, 41, 3, and 4 types I to V cordectomies, respectively. 6 negative cordectomies (10.5%) were reported.
CONCLUSION
The endoscopic treatment of T1 glottic cancer should be as conservative as possible. This assures resection of all the malignant tissue and preserves the maximum amount of healthy tissue.
目的
本研究确定手术标本中是否存在残留癌，并分析结果。
方法
对2000年1月至2010年2月期间治疗的57例声门癌患者（7例Tis、47例T1a和3例T1b）进行回顾性研究。病理学家和外科医生在光学显微镜下对这57例患者的所有组织学切片进行了重新检查。我们进行了多次活检和术中活检作为诊断程序。
结果
分别有5例、4例、41例、3例和4例进行了I至V型声带切除术。报告了6例阴性声带切除术（10.5%）。
结论
T1声门癌的内镜治疗应尽可能保守。这可确保切除所有恶性组织，并保留最大量的健康组织。
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