Calabrese Luca, Pietrobon Giacomo, Fazio Enrico, Abousiam Monir, Awny Shadi, Bruschini Roberto, Accorona Remo
Division of Otorhinolaryngology, "San Maurizio" Hospital, Bolzano, Italy.
Division of Otolaryngology and Head and Neck Surgery, European Institute of Oncology IRCCS, Milan, Italy.
Head Neck. 2020 May;42(5):1105-1109. doi: 10.1002/hed.26095. Epub 2020 Jan 30.
The mainstream of treatment of early-stage oral tongue squamous cell carcinoma (OTSCC) is represented by transoral resection with "adequate" free margins. Despite that, a precise and shared definition of "adequate margin" is lacking, and so is a standardized transoral surgical technique.The tongue is a symmetrically paired organ, consisting of intertwining intrinsic and extrinsic muscles, which can be distinguished during dissection. Routes of tumoral spread in oral tongue cancer are well-known and should be taken into account during resection. We propose herein a standardized and replicable surgical technique to resect early-stage OTSCC, based on rational anatomical considerations.
早期口腔舌鳞状细胞癌（OTSCC）的主流治疗方法是以具有“足够”切缘的经口切除为代表。尽管如此，目前仍缺乏对“足够切缘”的精确且统一的定义，同时也缺乏标准化的经口手术技术。舌是一个对称的成对器官，由相互交织的舌内肌和舌外肌组成，在解剖过程中可以区分。口腔舌癌的肿瘤扩散途径是众所周知的，在切除过程中应予以考虑。在此，我们基于合理的解剖学考量，提出一种标准化且可重复的手术技术，用于切除早期OTSCC。
