Piantanida R, Maffioli M, Marchesi A
Divisione di Otorinolaringoiatria, Ospedale di Circolo e Fondazione Macchi, Varese.
Acta Otorhinolaryngol Ital. 1995 Jun;15(3):148-51; discussion 152.
In cutaneous carcinoma of the Head and Neck there is a 7% of cases that often suffer substantial morbidity and even mortality. The identification of the "high-risk patient" may derive from the study of the prognostic factors which have been published in Literature. The problem has to be differentiated between the basal cells carcinoma (BCC) and the squamous cells carcinoma (SCC) due to the locally limited aggressiveness of the first and the potential for metastatization of the latter. The evaluation of the different variables confirms the inadequacy of the present TNM Classification for Cutaneous carcinoma; nevertheless the opportunity of a new and omni-comprehensive proposal is questionable.
在头颈部皮肤癌中，有7%的病例常遭受严重的发病甚至死亡。“高危患者”的识别可能源于对文献中已发表的预后因素的研究。由于基底细胞癌（BCC）局部侵袭性有限，而鳞状细胞癌（SCC）有转移的可能性，因此必须区分这两种疾病。对不同变量的评估证实了目前皮肤癌TNM分类的不足之处；然而，提出一个新的、全面的建议是否可行仍值得怀疑。
