口腔癌核心測量指標(PDF).PDFVIP

附件十八、口腔癌核心測量中選指標 1.指標類型：治療（ 1） 2.指標名稱：口腔癌病人手術後病理紀錄原發腫瘤手術邊界 (margin status)之百分比。 3.指標定義：分子 : 原發腫瘤切除的病人，有紀錄原發腫瘤手術邊界 (margin status)的病人數。 分母原發腫瘤切除的口腔癌病人數。: 4.指標選取理由：與病人的 outcome有關。 5.指標資料來源： TCDB 6.參考文獻：Fernando,2000(Ref -3.,27); The Royal College of Pathologists,2005(Ref 9.,27) 7.Level of Evidence: Level II 8.備註： 1.Margin is an important prognostic factor for the surgery of the squamous cell carcinoma . 2. Certain features of invasive mucosal carcinomas (type, size and grade of the primary carcinoma, the pattern of invasion and proximity of carcinoma to resection margins, lymph node status and the presence of extranodal spread) have been shown to be related to clinical outcome. 1.指標類型：治療（ 2 ） 2.指標名稱：口腔癌病人手術後病理紀錄淋巴結膜 (ECS)侵犯情形之百分比。 3.指標定義：分子 :淋巴結清除的病人有描述淋巴結膜(ECS)是否侵犯的病人。 分母有做淋巴結清除的口腔癌病人數。: 4.指標選取理由：與病人的 outcome有關。 5.指標資料來源： 6.參考文獻：Greenberg JS,2003(Ref- 4.,27) 7.Level of Evidence: Level II 8.備註： Extracapsular spread (ECS) of metastatic squamous cell carcinoma of the head and neck to regional lymph nodes is the most reliable predictor of poor treatment outcomes. Recently, the authors have shown that ECS is significantly associated with higher rates of locoregional recurrence, distant metastasis, and decreased survival in patients with squamous cell carcinoma of the oral tongue (SCCOT). 1 附件十八、口腔癌核心測量中選指標 1.指標類型：治療（ 3 ） 2.指標名稱：口腔癌原發腫瘤手術的病人，有描述淋巴血管 (LVI)是否侵犯之百分比。 3.指標定義：分子 :口腔癌有原發腫瘤手術的病人，有描述 淋巴血管(LVI)是否侵犯之人數。 分母:口腔癌原發腫瘤手術的病人數。 4.指標選取理由：與病人的 outcome有關。 5.指標資料來源： 6.參考文獻：Day TA.,2003 (Ref- 2.,27) 7.Level of Evidence: Level II 8.備註： Factors identified through histopathologic studies to portend a worse prognosis include tumor thickness, tumor volume, mode of invasion, positive or close margins, lym