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口腔癌对侧颈淋巴结转移的高危因素分析 被引量:1

High risk factors of contralateral neck lymph node metastasis in oral squamous cell carcinoma
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摘要 目的:分析影响口腔癌患者发生对侧颈淋巴结转移的临床病理因素.方法:收集2010年6月~2011年6月间217例中发生对侧颈淋巴结转移的口腔癌病历资料13例,对其临床病理特点进行分析.结果:口腔癌对侧颈淋巴结转移多发于年轻患者,部位以舌、口底常见,并与临床分期、病理分级、同侧颈淋巴转移等因素密切相关,其协同作用可能加快其转移.结论:在≤45岁、肿瘤范围越过中线、侵及口底、≥T3期、低分化鳞癌、同侧颈淋巴结转移等因素中若出现两项或以上者,则有必要考虑同期行对侧颈淋巴结清扫术,以提高患者治愈率和生存率. Objective:To analysis clinical pathological factors affecting contralateral neck lymph node metastasis in o- ral squamous cell carcinoma (OSCC). Method: Collecting 13 cases of OSCC patients with contralateral neck lymph node metastasis from a total of 217 case from june 2010 to june 2011 to study the contralateral neck lymph node metastasi-related clinical pathological factors. Result: OSCC patients with contralateral neck lymph node metastasis offen happened in younger patients and the most common primary site are located in tongue and the mouth floor; the clinical stage,histological type, ip- silateral clinically lymph node- positive were closely related with those patients,The synergistic effect of these factors may accelerate the metastasis. Conclusion: To improve the cure and survival rates, prophylactic contralateral neck dissection is suggested for patients with those factors: ≤ 45 years, tumor crossing of the midline, floor of mouth involvement, tumor stage ≥ T3, poorly differentiated tumors, ipsilateral clinically lymph node-positive which simultaneously including two or more factors above.
出处 《临床口腔医学杂志》 2014年第4期226-227,共2页 Journal of Clinical Stomatology
关键词 口腔癌 转移 对侧颈淋巴结转移 颈淋巴结清扫 oral squamous cell carcinoma metastasis contralateral neck lymph node metastasis neck dissection
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参考文献8

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