实用口腔医学杂志
實用口腔醫學雜誌
실용구강의학잡지
JOURNAL OF PRACTICAL STOMATOLOGY
2015年
1期
109-111
,共3页
口腔鳞癌(OSCC)%隐匿性转移%颈淋巴结清扫
口腔鱗癌(OSCC)%隱匿性轉移%頸淋巴結清掃
구강린암(OSCC)%은닉성전이%경림파결청소
Oral squamous cell carcinoma%Occult cervical lymph node metastasis%Neck dissection
目的:探讨颈部淋巴结阴性(cN0)的口腔鳞癌(OSCC)患者发生颈淋巴结隐匿性转移的规律和相关影响因素。方法:收集2008-07~2013-07接受颈淋巴结清扫的85例 cN0 OSCC 患者的临床和病理资料进行回顾性分析。结果:85例 cN0 OSCC患者中,总隐匿性转移率为28.24%(24/85)。cN0 OSCC 患者淋巴结转移率与性别、发病部位无相关性(P >0.05),与年龄、原发灶大小、病理分期及生长方式存在显著相关性(P <0.05)。结论:肿瘤体积越大、分化程度越低、患者年龄越小其淋巴结隐匿性转移率越高,对此类患者需积极行相应颈部淋巴结清扫处理。
目的:探討頸部淋巴結陰性(cN0)的口腔鱗癌(OSCC)患者髮生頸淋巴結隱匿性轉移的規律和相關影響因素。方法:收集2008-07~2013-07接受頸淋巴結清掃的85例 cN0 OSCC 患者的臨床和病理資料進行迴顧性分析。結果:85例 cN0 OSCC患者中,總隱匿性轉移率為28.24%(24/85)。cN0 OSCC 患者淋巴結轉移率與性彆、髮病部位無相關性(P >0.05),與年齡、原髮竈大小、病理分期及生長方式存在顯著相關性(P <0.05)。結論:腫瘤體積越大、分化程度越低、患者年齡越小其淋巴結隱匿性轉移率越高,對此類患者需積極行相應頸部淋巴結清掃處理。
목적:탐토경부림파결음성(cN0)적구강린암(OSCC)환자발생경림파결은닉성전이적규률화상관영향인소。방법:수집2008-07~2013-07접수경림파결청소적85례 cN0 OSCC 환자적림상화병리자료진행회고성분석。결과:85례 cN0 OSCC환자중,총은닉성전이솔위28.24%(24/85)。cN0 OSCC 환자림파결전이솔여성별、발병부위무상관성(P >0.05),여년령、원발조대소、병리분기급생장방식존재현저상관성(P <0.05)。결론:종류체적월대、분화정도월저、환자년령월소기림파결은닉성전이솔월고,대차류환자수적겁행상응경부림파결청소처리。
Objective:To investigate the clinical and pathological factors of metastasis in patients with oral squamous cell carcinoma (OSCC)and clinical lymph node-negative(cN0).Methods:85 patients of OSCC with cN0 treated in 2008-07 -2013-07 were inves-tigated retrospectively.Results:In the 85 patients 24(28.34%)showed occult metastasis.Patient's gender,lesion location had no im-pact to metastasis(P >0.05),the patient's age,tumor size,growth pattern and histopathologic grade showed significant influence on the metastasis of OSCC(P <0.05).Conclusion:The greater tumor volume,lower differentiation degree and young age are the factors of higher occult lymph node metastasis.Selective neck dissection treatments of OSCC is recommended.