面部和前额皮肤鳞状细胞癌中颈部及腮腺的治疗及文献综述
The treatment of neck and parotid gland in cutaneous squamous cell carcinoma of face and forehead and the review of literature.
作者信息
Haksever Mehmet, Akduman Davut, Demir Mustafa, Aslan Sündüs, Yanılmaz Muhammed, Solmaz Fevzi
机构信息
Bursa Sevket Yilmaz Training and Research Hospital, Department of Otorhinolaryngology, Yıldırım, 16800, Bursa, Turkey.
Fatih University, Medical Faculty Hospital, Department of Otorhinolaryngology, Istanbul, Turkey.
出版信息
Ann Med Surg (Lond). 2015 Feb 7;4(1):48-52. doi: 10.1016/j.amsu.2015.01.003. eCollection 2015 Mar.
INTRODUCTION
The treatment of cervical lymph node metastases have a significant prognostic effect on the face and forehead skin cancers. We aimed to point out the importance of loco-regional treatment in cutaneous squamous cell carcinoma of face and forehead.
PRESENTATION OF CASE
We present our experience with four cases that had squamous cell carcinoma of face and forehead skin. All cases had regional recurrence following 1-3 years after the primary treatment, but did not have local recurrence.
DISCUSSION
Loco-regional lymphatic treatment for face and forehead skin squamous carcinomas has vital importance especially in the cases with high-risk factors for lymph node metastasis.
CONCLUSION
Elective lymph node dissection of appropriate region(s) should be included in the treatment plan for cases which have one or more of high-risk factors for lymph node metastases and long-term follow-up should not be ignored.
引言
颈部淋巴结转移的治疗对颜面部和额部皮肤癌的预后有显著影响。我们旨在指出局部区域治疗在颜面部和额部皮肤鳞状细胞癌中的重要性。
病例介绍
我们展示了4例颜面部和额部皮肤鳞状细胞癌患者的治疗经验。所有病例在初次治疗后1至3年出现区域复发，但无局部复发。
讨论
对于颜面部和额部皮肤鳞状细胞癌，局部区域淋巴治疗至关重要，尤其是对于有淋巴结转移高危因素的病例。
结论
对于有一项或多项淋巴结转移高危因素的病例，治疗方案应包括对适当区域进行选择性淋巴结清扫，且不应忽视长期随访。
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