口腔超声预测舌癌患者颈淋巴结转移的相关因素分析。
Predictive Factors of Late Cervical Lymph Node Metastasis Using Intraoral Sonography in Patients With Tongue Cancer.
机构信息
Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, Hiroshima, Japan
Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
出版信息
Anticancer Res. 2022 Jan;42(1):287-292. doi: 10.21873/anticanres.15484.
AIM
The objective of this study was to investigate the predictive factors of late cervical lymph node metastasis in patients with tongue cancer, based on the intraoral ultrasonographic (IUS) findings of the primary tongue lesion.
PATIENTS AND METHODS
Patients with T1/2N0M0 primary tongue cancer (n=106) were examined using IUS between September 2014 and September 2020. The relationships between the incidence of late cervical lymph node metastasis with the longest diameter, thickness, margin type, internal echo intensity, and internal or peripheral vascularity of the tongue lesion on Doppler IUS were assessed.
RESULTS
Multivariate analysis indicated that irregular margins of the lesion and the presence of internal echo intensity were significantly related to the incidence of late cervical lymph node metastasis.
CONCLUSION
Irregular margins and internal echo intensity of the tongue cancer lesion assessed using IUS may predict the occurrence of late cervical lymph node metastasis in T1/2N0M0 cases.
目的
本研究旨在探讨基于口腔内超声（IUS）对原发舌癌病灶的检查结果，预测舌癌患者颈淋巴结转移的预测因素。
患者与方法
2014 年 9 月至 2020 年 9 月期间，对 106 例 T1/2N0M0 期原发舌癌患者进行 IUS 检查。评估舌病灶的最长直径、厚度、边缘类型、内部回声强度以及多普勒 IUS 下的内部或外周血管与舌癌病灶迟发性颈淋巴结转移发生率之间的关系。
结果
多变量分析表明，病灶的不规则边缘和内部回声强度与迟发性颈淋巴结转移的发生率显著相关。
结论
IUS 评估的舌癌病灶不规则边缘和内部回声强度可能预测 T1/2N0M0 病例中迟发性颈淋巴结转移的发生。
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