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涎腺癌颈淋巴结转移的临床分析
引用本文:彭歆,郝杨,高敏,陈艳,高岩,马大权,俞光岩.涎腺癌颈淋巴结转移的临床分析[J].中国耳鼻咽喉头颈外科,2011(3):118-120.
作者姓名:彭歆  郝杨  高敏  陈艳  高岩  马大权  俞光岩
作者单位:北京大学口腔医学院口腔颌面外科;北京大学口腔医学院第二门诊部;北京大学口腔医学院病理科;
摘    要:目的 了解涎腺癌颈淋巴结转移的发生情况,为临床治疗提供参考.方法 选择北京大学口腔医学院具有完整临床及随访资料的涎腺癌患者815例,记录颈部淋巴结转移情况,分析涎腺癌的颈淋巴结转移的发生规律.结果 815例涎腺癌患者的总体颈淋巴结转移发生率11.53%(94/815).颈淋巴结转移发生率位列前3位的肿瘤分别是鳞状细胞癌...

关 键 词:涎腺肿瘤  淋巴转移  外科  口腔  预后

Cervical lymph node metastasis in salivary gland carcinoma
PENG Xin,HAO Yang,GAO Min,CHEN Yan,GAO Yan,MA Daquan,YU Guangyan Corresponding author:PENG Xin.Cervical lymph node metastasis in salivary gland carcinoma[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2011(3):118-120.
Authors:PENG Xin  HAO Yang  GAO Min  CHEN Yan  GAO Yan  MA Daquan  YU Guangyan Corresponding author:PENG Xin
Institution:PENG Xin1,HAO Yang2,GAO Min1,CHEN Yan3,GAO Yan3,MA Daquan2,YU Guangyan2 (1 Department of Oral and Maxillofacial Surgery,2 2nd Dental Center,3 Department of Oral Pathology,Peking University School and Hospital of Stomatology,Beijing,100081,China) Corresponding author:PENG Xin(Email:pxpengxin@263.net)
Abstract:OBJECTIVE To investigate the characteristics of cervical lymph node metastasis in salivary gland carcinoma.METHODS The clinical data of 815 cases with salivary gland carcinomas in Peking University School and Hospital of Stomatology were reviewed.The influence factors including histopathology type,tumor grade,primary site, tumor size were analyzed.RESULTS The overall rate of cervical lymph node metastasis in salivary gland carcinoma was 11.53%(94/815).The?rst three histopathology types with highest rate were squamous cell carcinoma,clear cell carcinoma,lymphoepithelial carcinoma and salivary duct carcinoma.The histopathology types with lowest rate were acinic cell carcinoma and polymorphous low-grade adenocarcinoma.The rate is significantly higher in submandibualr gland carcinoma than in parotid and sublingual gland(P0.05).The higher rate was noted in the patients with T3 and T4 than T1 and T2 (P0.05).CONCLUSION Histopathology type,tumor size,tumor grade and primary site are the important factors for the cervical lymph node metastasis in salivary gland carcinoma.
Keywords:Salivary Gland Neoplasms  Lymphatic Metastasis  Surgery  Oral  Prognosis  
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