| 下咽癌颈部及咽后淋巴结转移的CT/MRI分析 |
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| 引用本文： | 邓雪英,苏勇,郑列,谢传淼,古模发,曾睿芳,尹韶晗. 下咽癌颈部及咽后淋巴结转移的CT/MRI分析[J]. 癌症, 2010, 29(2): 202-206 |
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| 作者姓名： | 邓雪英 苏勇 郑列 谢传淼 古模发 曾睿芳 尹韶晗 |
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| 作者单位： | 华南肿瘤学国家重点实验室,广东,广州510060;中山大学肿瘤防治中心放疗科,广东,广州,510060;华南肿瘤学国家重点实验室,广东,广州510060;中山大学肿瘤防治中心影像介入中心,广东,广州,510060 |
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| 摘 要： | 背景与目的:下咽癌早期即可出现区域淋巴结转移,然而关于下咽癌区域淋巴结尤其是咽后淋巴结转移的报道少见。本研究旨在通过对下咽癌CT/MRI扫描结果的分析,探讨下咽癌区域淋巴结特别是咽后淋巴结转移的特性,为临床治疗提供参考。方法:回顾性分析2000年8月至2009年3月我院病理证实的88例下咽癌区域淋巴结转移的CT/MRI结果。对其局部分期、各区域淋巴结转移的相互关系采用χ2检验和Logistic多因素分析研究。结果:下咽癌的区域淋巴结转移率为73.9%,Ⅱa、Ⅱb、Ⅲ区淋巴结转移发生率最高,分别为61.4%、44.3%及37.5%。Ⅰ、Ⅳ、Ⅴ、Ⅵ区及咽后淋巴结转移都较少,并且均合并Ⅱ、Ⅲ区淋巴结转移。单因素分析显示Ⅰb、Ⅲ区淋巴结转移与Ⅳ区淋巴结转移,Ⅱb区、双侧颈部淋巴结转移与咽后淋巴结转移的关系有统计学意义。多因素分析结果显示Ⅳ区淋巴结转移与Ⅵ区淋巴结转移,双侧颈部淋巴结转移与咽后淋巴结转移的关系有统计学意义。结论:下咽癌区域淋巴结转移途径遵循一定的规律,跳跃性转移少见,以Ⅱ、Ⅲ区转移最常见。双侧颈部淋巴结可能是咽后淋巴结转移的危险因素。
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| 关 键 词： | 下咽肿瘤 颈部肿物/淋巴结 咽后淋巴结 CT MRI |
Analysis of cervical and retropharyngeal lymph node metastases in the patients with hypopharyngeal carcinoma with computed tomography and magnetic resonance imaging |
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| Xue-Ying Deng,,Yong Su,Lie Zheng,,Chuan-Miao Xie,Mo-Fa Gu,Rui-Fang Zeng,Shao-Han Yin,.State Key Laboratory of Oncology in South China,Guangzhou,Guangdong ,P.R.China. Analysis of cervical and retropharyngeal lymph node metastases in the patients with hypopharyngeal carcinoma with computed tomography and magnetic resonance imaging[J]. Chinese journal of cancer, 2010, 29(2): 202-206 |
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| Authors: | Xue-Ying Deng Yong Su Lie Zheng Chuan-Miao Xie Mo-Fa Gu Rui-Fang Zeng Shao-Han Yin .State Key Laboratory of Oncology in South China Guangzhou Guangdong P.R.China |
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| Affiliation: | Xue-Ying Deng1,2,Yong Su1,Lie Zheng1,3,Chuan-Miao Xie1,Mo-Fa Gu1,Rui-Fang Zeng1,Shao-Han Yin1,31.State Key Laboratory of Oncology in South China,Guangzhou,Guangdong 510060,P.R.China 2.Department of Radiotherapy,Sun Yat-sen University Cancer Center,P.R.China 3.Diagnostic Imaging , Intervening Center,P.R.China |
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| Abstract: | Background and Objective:Hypopharyngeal carcinoma has a high risk for early regional lymphatic dissemination.However,reports about regional lymph node metastases,especially retropharyngeal lymph node metastases,are rare.This research explored the spread of hypopharyngeal carcinoma,especially metastases of the retropharyngeal lymph nodes by studying computed tomography (CT) and magnetic resonance imaging (MRI) images.Methods:The CT /MRI images of 88 patients with pathologically confirmed hypopharyngeal carci... |
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| Keywords: | Hypopharyngeal neoplasm cervical neoplasm /lymph node retropharyngeal lymph node CT MRI |
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