Xu Z G
Department of Head and Neck Surgery, Cancer Hospital, CAMS, Beijing.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(4):213-5, 251.
The results of management of neck nodes in 295 cases with supraglottic laryngeal carcinoma were reviewed. Different approaches had been adopted. For N1-N3 cases RND was instituted routinely; for N0 cases, RND, which has been advocated by many authors, seems to be an overtreatment. We prefer upper jugular node dissection for pathologic evaluation. Out of 86 N0 cases, only 6 were proved to be positive for metastases. The 3 and 5 year survival rates for this series were 89.5% and 75.3% respectively which were comparable with those reported to have RND.
回顾了295例声门上型喉癌颈部淋巴结的处理结果。采用了不同的方法。对于N1 - N3期病例，常规进行根治性颈清扫术（RND）；对于N0期病例，许多作者所倡导的RND似乎属于过度治疗。我们更倾向于采用上颈部淋巴结清扫术进行病理评估。在86例N0期病例中，仅6例被证实有转移。该组病例的3年和5年生存率分别为89.5%和75.3%，与报道的采用RND的生存率相当。
