Kurita H, Takeda S, Nebashi S, Sunada O, Tamura M, Minemura T, Kurashina K, Kotani A
Dept. of Dentistry and Oral Surgery, Shinshu Univ. School of Med.
Gan No Rinsho. 1990 Dec;36(15):2563-7.
Reported are four cases of a stage I tongue carcinoma which recurred in the cervical area after a radical neck dissection (RND). In all cases, the primary lesion was controlled with radium needle implants. Clinically, these tumors manifested endophytic growth and, histologically, had a high malignant grading. In most cases, a latent lymph metastasis appeared within 6 months after initial treatment and an early metastatic lesion developed beyond the capsule of the node. The site of cervical recurrences was located in non treated areas that were outside the range of the RND.
报告了4例I期舌癌患者,这些患者在根治性颈清扫术(RND)后颈部区域出现复发。在所有病例中,原发灶均通过镭针植入得到控制。临床上,这些肿瘤表现为内生性生长,组织学上恶性分级高。大多数病例在初始治疗后6个月内出现潜在的淋巴结转移,且早期转移灶发展至淋巴结包膜外。颈部复发部位位于RND范围以外的未治疗区域。