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cN0舌癌患者颈淋巴结转移的区域分析
引用本文:杨利和,姚小武,卢子正,陈仕生,黄慧燕,朱郁文.cN0舌癌患者颈淋巴结转移的区域分析[J].广东牙病防治,2010,18(8):424-425.
作者姓名:杨利和  姚小武  卢子正  陈仕生  黄慧燕  朱郁文
作者单位:汕头大学医学院第二附属医院口腔科,广东,汕头,515041
摘    要:目的探讨cN0舌癌患者颈淋巴结转移的区域分布情况,为cN0舌癌患者颈淋巴清扫的术式选择提供参考。方法取61例cN0舌癌患者根治性颈淋巴清扫术后标本,收集各平面区域的淋巴结进行病理切片,分析其淋巴结转移情况及各区域的分布。结果 20例患者发现淋巴结转移,转移率32.8%,811颗淋巴结中62颗证实有转移,占7.6%。其中平面Ⅰ为11.0%(26/237),平面Ⅱ为8.2%(20/243),平面Ⅲ为6.0%(13/218),平面Ⅳ为3.5%(3/85),平面Ⅴ无淋巴结转移。结论 cN0舌癌患者仍有较高的颈淋巴结转移率,转移淋巴结主要分布于平面Ⅰ、Ⅱ和Ⅲ,少部分转移至平面Ⅳ,选用肩胛舌骨上颈淋巴清扫术最好扩展至平面Ⅳ。

关 键 词:舌癌  转移  颈淋巴清扫术

Regional Analysis of Cervical Lymph Node Metastasis of Patients with cN_0 Tongue Carcinoma
YANG Li-he,YAO Xiao-wu,LU Zi-zheng,et al..Regional Analysis of Cervical Lymph Node Metastasis of Patients with cN_0 Tongue Carcinoma[J].Journal of Dental Prevention and Treatment,2010,18(8):424-425.
Authors:YANG Li-he  YAO Xiao-wu  LU Zi-zheng  
Institution:YANG Li-he,YAO Xiao-wu,LU Zi-zheng,et al.Department of Stomatology,the Second Affiliated Hospital of Medical College,Shantou University,Shantou 515041,China
Abstract:Objective To analyze the regional distribution of cervical lymph node metastasis of patients with cN0 tongue carcinoma to made the reference for the selection of neck dissection.Methods Lymph nodes in every level were collected from specimens of radical neck dissection of 61 patients with cN0 tongue carcinoma.The metastasis was checked pathologically and the regional distributions were analyzed.Results Lymph node metastases were found in 20 patients and the metastasis rate was 32.8%.sixty-two lymph nodes we...
Keywords:Tongue carcinoma  Metastasis  Neck dissection  
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