Sesenna E, Ferrari S, De Riu G
Cattedra di Chirurgia Maxillo-Facciale, Università, Ospedale di Parma.
Acta Otorhinolaryngol Ital. 1995 Feb;15(1):47-50.
Neoplastic spreading by seeding occurs through mechanical transfer of some cells from a tumor mass onto healthy tissue of an implantation site. There is significant experimental proof of neoplastic cells seeding in surgical wounds although this seldom occurs in cases of surgery for head and neck tumors. We consider the description of a squamous cell carcinoma of the tongue which spread to the tracheotomy site, most probably through a iatrogenic seeding and conclude that use of a few simple precautions could minimize the frequency of such unfortunate complications.
肿瘤通过播种进行扩散是指一些细胞从肿瘤块机械转移到植入部位的健康组织上。有大量实验证据表明肿瘤细胞会在手术伤口处播种,尽管这种情况在头颈部肿瘤手术中很少发生。我们考虑了一例舌鳞状细胞癌扩散至气管切开部位的病例,极有可能是通过医源性播种导致的,并得出结论:采取一些简单的预防措施可以降低此类不幸并发症的发生频率。