摘要
[目的]探讨颊黏膜鳞癌的颈淋巴结转移分布规律和颈淋巴清扫的关系。[方法]对浙江省肿瘤医院头颈外科1990年1月￣2004年12月行颈淋巴清扫的52例颊黏膜鳞癌进行回顾性分析。[结果]颊黏膜鳞癌颈淋巴结转移率为26.9%(14/52),各区淋巴结转移率Ⅰ区为40.6%,Ⅱ区34.4%,Ⅲ区25.0%,Ⅳ区0。分期中T1与T2及T3与T4之间颈淋巴结转移率无显著差异(P>0.05),但T1、T2与T3、T4之间随分期增高而颈淋巴结转移率明显增加(P<0.01)。颊黏膜鳞癌随分化程度的变差,区域淋巴结转移率增加。[结论]对于颊黏膜鳞癌,可以择区清扫Ⅰ、Ⅱ、Ⅲ区淋巴结,Ⅳ区清扫一般仅适合于病理类型为低分化癌者;T3、T4的需要行胸大肌等皮瓣修复的患者;临床淋巴结转移为N2的患者。
[Purpose]To investigate the relationship between the distribution of metastatic lymph node and neck dissection in patients with buccal squamous cell carcinoma.[Methods]Fifty-two patients with buccal squamous cell carcinoma undergoing neck dissection in Zhejiang Cancer Hospital from January 1990 to December 2004 were reviewed retrospedtively.[Results] The lymph node metastatic rate was 26.9% in buccal squamous cell carcinoma ,and the rates of different levels were as follows：level Ⅰ,40.6%;level Ⅱ,34.4%;levelⅢ,25.0%;and level Ⅳ,0.The lymph node metastatic rete was not singificanrly different between T1 and T2,and between T3 and T4（P〉0.05）,but the rate was higher in T3＋T4 group than that in T1＋T2 group（P〈0.01）.The lymph node should be dissected rate incraesed with decreasing of differentiation .[Conlusion] Ⅰ,Ⅱ and Ⅲ level lymph node should be dissected in buccal cancar patients ,and the level Ⅳ node dissection is suitable for low differentiation cancer;stage T3 or T4 with flaps reconstruction and N2 node metastasis.
出处
《中国肿瘤》
CAS
2006年第4期255-257,共3页
China Cancer
关键词
颊
口腔黏膜
口腔肿瘤
肿瘤
鳞状细胞
淋巴转移
颈淋巴结清扫术
cheek
mouth mucosa
mouth neoplasms
neoplasms,squamous cell
lymphatic metastasis
radical neck dissection
