早期舌癌T1或T2伴或不伴颈部清扫的复发率

IF 0.1 Q4 OTORHINOLARYNGOLOGY
Md Momin Uddin, Sayed Farhan Ali Razib, Md Monsur Alam, Md Ali Azad
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引用次数: 0

摘要

背景:经医生确诊的T1 T2 N0型口腔癌或舌癌患者可选择颈部清扫术。一些人认为T1原发肿瘤的结节性复发得到了很好的控制,而另一些人则认为挽救性肿瘤往往是例外而非常规。目的:探讨T1、T2期早期舌癌伴或不伴颈部清扫的复发率。方法:前瞻性横断面临床研究于2021年3月至2023年3月在达卡联合军队医院耳鼻喉科和头颈外科进行。根据美国癌症联合委员会(AJCC)的定义,所有100例临床确定为T1和T2疾病的患者均在达卡联合军事医院耳鼻喉科接受治疗,并接受原发性手术切除肿瘤,伴或不伴颈部清扫。该研究排除了涉及舌底或复发性口腔癌的癌症病例。结果:颈部清扫组局部复发3例(6%),局部复发2例(4%),局部和区域均复发1例(2%)。不会进行解剖。局部复发10例(20%),局部复发3例(6%),局部和局部合并复发1例(2%)。颈清扫组复发率为4例(8%),无清扫组为14例(28%)。结论:在本研究中,颈部清扫组的复发率为8%,未清扫组的复发率为28%。无颈清扫组的总复发率明显高于颈清扫组。孟加拉国[J] otorhinolyngol 2023;29 (1): 5 - 10
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Recurrence in Early Tongue Cancer T1 or T2 with or Without Neck Dissection
Background: Patients with T1 T2 N0 mouth or tongue cancer that has been confirmed by a doctor may choose to have a neck dissection. Some say that nodal return of a T1 original tumor is well controlled, while others say that salvage is more often the exception than the rule. Objective: To determine the likelihood of recurrence in T1 or T2 early tongue carcinoma with or without neck dissection. Methods: The prospective cross-sectional clinical study was conducted from March 2021 to March 2023 at the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka. All 100 patients who presented with clinically determined T1 and T2 disease, as defined by the American Joint Committee on Cancer (AJCC), were treated at the Department of Otolaryngology of the Combined Military Hospital in Dhaka and underwent primary surgical resection of the tumor with or without neck dissection. The study eliminated cases of cancer involving the base of the tongue or recurring oral tongue cancer. Results: In the neck dissection group, 3(6%) experienced local recurrence, 2(4%) experienced regional recurrence, and 1 (2%) experienced both (local and regional recurrence). There will be no dissection. 10(20%) Local recurrence, 3 (6%), Regional recurrence, and 1 (2% combined local and regional recurrence). Recurrence was 4(8%) in the neck dissection group and 14(28%) in the no dissection group. Conclusion: In this study, the overall recurrence rate was 8% in neck dissection and 28% in no neck dissection. The overall recurrence rate in the no neck dissection group was significantly greater than in the neck dissection group. Bangladesh J Otorhinolaryngol 2023; 29(1): 5-10
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