中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
5期
20-22
,共3页
癌,腺样囊性%头颈部肿瘤%预后
癌,腺樣囊性%頭頸部腫瘤%預後
암,선양낭성%두경부종류%예후
Carcinoma,adenoid cystic%Head and neckneoplasms%Prognosis
目的 研究头颈部腺样囊性癌的临床病理及预后因素.方法 回顾性收集1999年1月至2007年12月治疗的头颈部腺样囊性癌患者58例,通过对其临床病理资料的收集和预后随访,分析影响腺样囊性癌预后的因素.结果 单因素分析发现,组织病理类型、嗜神经侵袭、血管侵袭、肿瘤复发、肿瘤远处转移以及TNM分期与腺样囊性癌的预后有关(P＜0.05).多因素分析显示TNM分期、组织病理类型筛孔型以及嗜神经侵袭是腺样囊性癌的独立预后因子(P＜0.05).结论 组织病理类型、TNM分期、嗜神经侵袭、血管侵袭、肿瘤复发以及肿瘤远处转移是腺样囊性癌重要的预后因子.
目的 研究頭頸部腺樣囊性癌的臨床病理及預後因素.方法 迴顧性收集1999年1月至2007年12月治療的頭頸部腺樣囊性癌患者58例,通過對其臨床病理資料的收集和預後隨訪,分析影響腺樣囊性癌預後的因素.結果 單因素分析髮現,組織病理類型、嗜神經侵襲、血管侵襲、腫瘤複髮、腫瘤遠處轉移以及TNM分期與腺樣囊性癌的預後有關(P＜0.05).多因素分析顯示TNM分期、組織病理類型篩孔型以及嗜神經侵襲是腺樣囊性癌的獨立預後因子(P＜0.05).結論 組織病理類型、TNM分期、嗜神經侵襲、血管侵襲、腫瘤複髮以及腫瘤遠處轉移是腺樣囊性癌重要的預後因子.
목적 연구두경부선양낭성암적림상병리급예후인소.방법 회고성수집1999년1월지2007년12월치료적두경부선양낭성암환자58례,통과대기림상병리자료적수집화예후수방,분석영향선양낭성암예후적인소.결과 단인소분석발현,조직병리류형、기신경침습、혈관침습、종류복발、종류원처전이이급TNM분기여선양낭성암적예후유관(P＜0.05).다인소분석현시TNM분기、조직병리류형사공형이급기신경침습시선양낭성암적독립예후인자(P＜0.05).결론 조직병리류형、TNM분기、기신경침습、혈관침습、종류복발이급종류원처전이시선양낭성암중요적예후인자.
Objective To approach the prognostic factors of head and neck adenoid cystic carcinoma.Methods Fifty-eight head and neck adenoid cystic carcinomas were treated from January 1999 to December 2007.The demographic and clinicopathological data were obtained from a retrospective chart review.The follow-up and survival analysis were carried out to analyze the significant prognostic factors.Results Using the univariate analysis,the variables,such as histologic type,perineural invasion,vascular invasion,recurrence,metastasis and TNM stage were found significantly associated with a worse prognosis (P ＜ 0.05 ).Multivariate analysis showed that histologic type,perineural invasion and TNM stage had an independent prognostic effect on survival (P ＜ 0.05 ).Conclusion The variables including histologic type,TNM stage,perineural and vascular invasion,recurrence and metastasis are important prognostic factors for head and neck adenoid cystic carcinoma.
