Cachin Y
Schweiz Med Wochenschr. 1978 Jun 17;108(24):893-7.
The treatment of carcinomas of oropharynx and oral cavity has changed rapidly over the last 15 years due to the progress of surgical technics and of oncological knowledge. As far as natural history and therapy are concerned, there are two opposing types of cancer: 1. Carcinomas developing from a mucous membrane covering a lymphoid tissue (cancers of the tonsil, some cancers of the palate and the base of tongue). Treatment is usually by radiotherapy, and surgery is mainly resorted to if radiotherapy fails. Therapeutic trials of chemotherapy are in progress. 2. Carcinomas developing from a mucous membrane covering muscles (cancers of the tongue, floor of the mouth and interval cheek) or bone of the mandible (carcinomas of the gingiva, floor of the mouth and gingiva, and retro-alveolar area). The therapy is described. The principles of treatment of the regional lymph nodes are also described.
在过去15年中，由于外科技术和肿瘤学知识的进步，口咽癌和口腔癌的治疗方法发生了迅速变化。就自然病史和治疗而言，有两种相对的癌症类型：1. 由覆盖淋巴组织的黏膜发展而来的癌（扁桃体癌、一些腭癌和舌根癌）。通常采用放射治疗，若放射治疗失败则主要采用手术治疗。化疗的治疗试验正在进行中。2. 由覆盖肌肉的黏膜（舌癌、口底癌和颊间隙癌）或下颌骨（牙龈癌、口底和牙龈癌以及牙槽后区域癌）发展而来的癌。描述了其治疗方法。还描述了区域淋巴结的治疗原则。
