摘要
目的探讨cN0舌癌患者颈淋巴结转移的区域分布情况,为cN0舌癌患者颈淋巴清扫的术式选择提供参考。方法取61例cN0舌癌患者根治性颈淋巴清扫术后标本,收集各平面区域的淋巴结进行病理切片,分析其淋巴结转移情况及各区域的分布。结果 20例患者发现淋巴结转移,转移率32.8%,811颗淋巴结中62颗证实有转移,占7.6%。其中平面Ⅰ为11.0%(26/237),平面Ⅱ为8.2%(20/243),平面Ⅲ为6.0%(13/218),平面Ⅳ为3.5%(3/85),平面Ⅴ无淋巴结转移。结论 cN0舌癌患者仍有较高的颈淋巴结转移率,转移淋巴结主要分布于平面Ⅰ、Ⅱ和Ⅲ,少部分转移至平面Ⅳ,选用肩胛舌骨上颈淋巴清扫术最好扩展至平面Ⅳ。
Objective To analyze the regional distribution of cervical lymph node metastasis of patients with cN0 tongue carcinoma to made the reference for the selection of neck dissection.Methods Lymph nodes in every level were collected from specimens of radical neck dissection of 61 patients with cN0 tongue carcinoma.The metastasis was checked pathologically and the regional distributions were analyzed.Results Lymph node metastases were found in 20 patients and the metastasis rate was 32.8%.sixty-two lymph nodes were found with metastasis in 811 lymph nodes（7.6%）.The metastasis rate was 11.0%（26/237）in levelⅠ,8.2%（20/243）in level Ⅱ,6.0%（13/218）in level Ⅲ,3.5%（3/85）in level Ⅳ,and no lymph node metastasis in level Ⅴ.Conclusion There was a higher metastasis rate in patients with cN0 tongue carcinoma.The metastasis lymph nodes were mainly distributed in level Ⅰ,Ⅱ and Ⅲ and few in level Ⅳ.It is better to extend to level Ⅳ in supraomohyoid neck dissection.
出处
《广东牙病防治》
2010年第8期424-425,共2页
Journal of Dental Prevention and Treatment
关键词
舌癌
转移
颈淋巴清扫术
Tongue carcinoma
Metastasis
Neck dissection
