累及颞骨的皮肤鳞状细胞癌的淋巴结转移模式。
Pattern of nodal metastasis of cutaneous squamous cell carcinoma involving the temporal bone.
作者信息
Hintze Justin M, O'Riordan Isobel, Jones Holly, McHugh Alison, Gendre Adrien, Timon Conrad, Kinsella John, Lennon Paul, Walsh Rory McConn, Shine Neville, O'Neill James P
机构信息
Department of Otolaryngology-Head and Neck Surgery Beaumont Hospital Dublin Ireland.
Royal College of Surgeons in Ireland Dublin Ireland.
出版信息
Laryngoscope Investig Otolaryngol. 2022 Dec 16;8(1):120-124. doi: 10.1002/lio2.981. eCollection 2023 Feb.
OBJECTIVE
The objective of this study was to explore the pattern of lymph-node spread of SCCs involving the temporal bone.
METHODS
We retrospectively reviewed all cutaneous SCCs involving the temporal bone over a 20-year time-period. Forty-one patients were eligible.
RESULTS
Mean age was 72.8 years. The diagnosis was cutaneous SCC in all cases.All patients underwent a temporal bone resection, 70.7% had a neck-dissection and 78.0% a parotidectomy.Level 2 was the most common area of neck metastasis, and occurred in 12.2%. The parotid had disease in 34.1%. 51.2% of patients underwent free-flap reconstruction.Mean overall survival of the cohort was 4.2 years.
CONCLUSIONS
Overall, the rate of cervical nodal metastasis was 22.0% and 13.5% in the occult setting. The parotid was involved in 34.1% and 10.0% in the occult setting. Results from the present study support consideration for performing a parotidectomy at the time of temporal bone resection, while a neck dissection can be performed for adequate staging of the nodal basin.
LEVEL OF EVIDENCE
目的
本研究的目的是探讨累及颞骨的鳞状细胞癌的淋巴结转移模式。
方法
我们回顾性分析了20年间所有累及颞骨的皮肤鳞状细胞癌。41例患者符合条件。
结果
平均年龄为72.8岁。所有病例诊断均为皮肤鳞状细胞癌。所有患者均接受了颞骨切除术，70.7%的患者进行了颈部清扫术，78.0%的患者进行了腮腺切除术。2区是颈部转移最常见的部位，发生率为12.2%。腮腺受累率为34.1%。51.2%的患者接受了游离皮瓣重建。该队列的平均总生存期为4.2年。
结论
总体而言，隐匿性情况下颈部淋巴结转移率为22.0%，腮腺受累率在隐匿性情况下为34.1%和10.0%。本研究结果支持在颞骨切除时考虑进行腮腺切除术，而颈部清扫术可用于对淋巴结区域进行充分分期。
证据等级
3级。
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