Vaglini M, Belli F, Santinami M, Cascinelli N
Division of Surgical Oncology B, National Cancer Institute, Milan, Italy.
Eur J Surg Oncol. 1990 Feb;16(1):28-32.
Forty-six patients affected by head and neck melanoma were submitted to elective or therapeutic parotidectomy associated with laterocervical dissection from 1980 to 1983 at the National Cancer Institute of Milan. The study showed that parotidectomy is indicated in the presence of clinically palpable nodes or where primaries originate in the temporo-zygomatic area. It also demonstrated that survival is not affected by type of dissection performed and that cervical lymphadenectomy must always be associated with parotidectomy because of the high incidence of occult metastases in other nodal groups in these cases.
1980年至1983年期间，米兰国家癌症研究所对46例头颈部黑色素瘤患者进行了选择性或治疗性腮腺切除术，并同期进行颈侧区清扫术。研究表明，当临床上可触及淋巴结或原发灶起源于颞颧区域时，应行腮腺切除术。研究还表明，所进行的清扫术类型不影响生存率，并且由于这些病例中其他淋巴结组隐匿转移的发生率较高，颈淋巴结清扫术必须始终与腮腺切除术联合进行。
