Sung Ki-Woong, Kim Soung Min, Myoung Hoon, Kim Myung-Jin, Lee Jong-Ho
Oral Cancer Center, Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2017 Jun;43(3):147-151. doi: 10.5125/jkaoms.2017.43.3.147. Epub 2017 Jun 28.
The purpose of this study was to evaluate and compare the treatment outcomes of partial glossectomy with or without elective neck dissection in patients with tongue squamous cell carcinoma (SCCa).
A total of 98 patients who were diagnosed with tongue SCCa and underwent partial glossectomy between 2005 and 2014 were evaluated. Only 14 patients received elective neck dissection, and 84 patients received only partial glossectomy.
There were 56 men and 42 women with a mean age of 57 years and mean follow-up period of 33.7 months. There were 70 patients graded as T1 and 28 as T2. The total occult metastasis rate was 17.3%. The 5-year overall survival rate was 83.3% with elective neck dissection and 92.4% with observation. The 5-year disease-free survival rate was in 70.7% in the elective neck dissection group and 65.3% in the observation group.
We retrospectively reviewed the records of 98 patients with tongue SCCa. These patients were divided into two groups, those who underwent elective neck dissection and those who did not. There was no statistically significant difference between the groups undergoing partial glossectomy with or without elective neck dissection.
本研究旨在评估和比较舌鳞状细胞癌（SCCa）患者行部分舌切除术加或不加择区颈清扫术的治疗效果。
对2005年至2014年间共98例诊断为舌SCCa并接受部分舌切除术的患者进行评估。仅14例患者接受了择区颈清扫术，84例患者仅接受了部分舌切除术。
患者共56例男性和42例女性，平均年龄57岁，平均随访期33.7个月。T1级患者70例，T2级患者28例。总隐匿转移率为17.3%。择区颈清扫术组的5年总生存率为83.3%，观察组为92.4%。择区颈清扫术组的5年无病生存率为70.7%，观察组为65.3%。
我们回顾性分析了98例舌SCCa患者的记录。这些患者被分为两组，一组接受择区颈清扫术，另一组未接受。行部分舌切除术加或不加择区颈清扫术的两组之间无统计学显著差异。
