| 头颈部鳞癌颈淋巴结转移诸因素对预后的影响 |
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| 引用本文： | 李晓明 Will.,W.头颈部鳞癌颈淋巴结转移诸因素对预后的影响[J].临床耳鼻咽喉头颈外科杂志,1997,11(8):339-342. |
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| 作者姓名： | 李晓明 Will. W |
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| 作者单位： | 白求恩医科大学第一临床学院耳鼻咽喉-头颈外科!长春130021(李晓明)，香港大学外科学系(WilliamWei) |
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| 摘 要： | 对382例头颈部原发鳞癌病人颈清扫标本连续切片病理观察结果和临床资料进行回顾性分析，探讨淋巴结转移的各项临床和病理学因素与病人预后的关系。发现总体5年生存率为46.1％，口腔癌、口咽癌、下咽癌和喉癌的5年生存率分别为49．7％，39．7％，35．0％和60．3％。表明颈淋巴结的临床分期、触诊淋巴结大小、病理转移淋巴结情况、颈淋巴解剖分区受累数和最低受累平面与病人5年生存率有密切关系（均P＜0．01），而阳性淋巴的个数对病人预后无明显影响。提示针对影响预后的淋巴结因素应采取相应的治疗措施，以提高病人的5年生存率。
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| 关 键 词： | 头颈部鳞癌 颈淋巴结转移因素 预后 |
Prognostic factors of cervical lymph metastases from squamous cell carcionmas the head and neck |
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| Li Xiaoming, William Wei.Prognostic factors of cervical lymph metastases from squamous cell carcionmas the head and neck[J].Journal of Clinical Otorhinolaryngology,1997,11(8):339-342. |
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| Authors: | Li Xiaoming William Wei |
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| Institution: | Department of Otolaryngology Head Neck Surgery, First Teaching Hospital, Bethune University of Medical Sciences, Changchun. |
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| Abstract: | Cervical lymph node prognostic factors were investigated in 382 head and neck squamous cell carcinoma (SCC ) patients including oral cavity cancer, oropharngeal cancer, hypopharyngeal cancer and laryngeal cancer. The overall five year survival rate of these patients was 46. 1%,and the 5 year survival rate was 49. 7 %,39. 7 %, 35. 0% and 60. 3% in carcinomas of oral cavity, oropharynx, hypopharynx and larynx, respectively. It was confirmed that clinical N staging,the size of lymph nodes,pathological conditions of neck nodes, numbers of positive areas and the lowest level of invasion are of prognostlc value. Some suitable measures must be taken to cope with these factors to improve the five-year survival rate of patients with SCC of the head and neck. |
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| Keywords: | Head and neck squamous cell carcinoma Cervical lymph node metastases factors Prognosis |
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