口腔鳞状细胞癌颈淋巴转移范围和临床病理因素间的相关性研究.pdfVIP

2005 19 3 J Modern Stomatol, May 2005, Vol 19, No . 3 # 225 # ## 李羽安 郭传王宾 高 岩 = 探讨口腔鳞状细胞癌颈淋巴转移范围和临床病理因 间的关系 对26 例已存在颈淋 巴转移的原发口腔癌患者, 进行颈淋巴转移范围和患者的临床病理资料的统计分析, 寻找影响转移范围的主要因 单因 分析发现, 肿瘤生长方式和分化程度与转移范围相关多因 分析显示, 肿瘤生长方式( 浸润 型) 和肿瘤转移范围相关 对颈淋巴已有转移的口腔癌患者, 若原发灶为浸润性生长, 肿瘤倾向于更大范围 的转移对已有颈淋巴转移的口腔癌患者,颈淋巴清扫术范围的制定, 主要考虑肿瘤生长方式, 适当考虑肿瘤发病 部位厚度大小和细胞的分化程度, 可以不考虑患者年龄和性别 = 口腔 鳞状细胞癌 颈淋巴结 转移 生长方式 Correlations between lymphatic metastasis extent and the clinical - pathological findings in patients with oral squamous cell carcinoma LI Yu. an, G UO Chuanbin, GA O Yan. Peking University School of Stomatology , eij ing 100081 = Abstract Obj ective Correlations between lymphatic metastasis extent and the clinical- pathological findings in patients w ith oral s uamous cell carcinoma ( OSCC) were studied. Methods Lymphatic metastasis extent and clinical- pathological findings were statistically analyzed to find the main w orking factors in affecting patients. neck metastasis in 26 patients w ith OSCC w ho already had neck metastasis. Results Clinical- pat hological findings such as invasive growth pattern and extent of the tumor cell. s differentiation were related to metastasis extent. Conclusion The invasive growth pattern is the main concern in determining the management of the neck. = Key words Oral s uamous cell carcinoma Lymph node Metastasis Growth pattern 中图分类号: R739. 8 文献标识码: A , 1 55mm, [ 1~ 3] 10mm, 32 ? 11mm : 14 ; ( 53. 8% ) , 1 ( 3. 9% ) , 11 , ? (42. 3% ) U ICC1992 4 ? TNM , T 1 4 ( 15. 4% ) T2 15 ( 57. 7 % ) T3 3 ( 11. 5% ) T 4 4 , ( 15. 4% ) ( ) , N 1 21 ( 80. 8%