喉声门上癌的区域转移频率

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Bangladesh Journal of Otorhinolaryngology Pub Date : 2023-03-02 DOI:10.3329/bjo.v28i2.64522

Mohammad Nazrul Islam, Kazi Shameemus Salam, M. Matin, Md Shah Sakender, GM Faruquzzaman, Ahm Ferdows Nur

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引用次数: 0

摘要

背景：癌症在上消化道的发病率仍然很高。这些喉癌症中85-95%是鳞状细胞癌。局部晚期癌症转移较多。在喉癌中，声门上癌的区域转移率最高。目的：评价声门上型喉癌区域转移的发生率。方法：这项横断面研究于2014年6月至11月在Rajshahi医学院医院耳鼻喉科和头颈外科进行，共有40名喉声门上癌患者，为期6个月。声门癌、声门下癌、下咽癌、无任何原发部位的转移性颈淋巴结（隐匿原发性）患者被排除在研究之外。对可触及颈淋巴结的患者进行颈淋巴结FNAC。结果：19例（47.5%）患者年龄在50-60岁之间，平均年龄54.5±13.2岁。大多数患者出现一种以上症状，最常见的症状是咳嗽和刺激35（87.5%），其次是吞咽困难26（65%）和声音改变24（60%）。大量患者，16例（40%）出现颈部肿胀。在40名患者中，16名（40%）患者的区域淋巴结受累。II级淋巴结受累的病例较多，10例（62.5%）。早期受累的淋巴结多数为9例（56.5%）。同侧受累的淋巴节多数为13例（81.3%）。声门上生长的大多数（55.0%）外观为外生。在这项研究中，声门上癌的常见部位是20个（50.0%）的会厌和杓状突。在患者中，31个（77.5%）患有T2肿瘤。其中，16例（40%）处于III期，其次是II期10例（25%）。结论：区域转移是一个非常有用的预后指标。肾小球上有丰富的淋巴引流，这些肿瘤中有很大一部分扩散到淋巴结。孟加拉国耳鼻喉科杂志2022；28（2）:180-185

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Frequency of Regional Metastasis in Supraglottic Carcinoma of Larynx

Background: Incidence of laryngeal cancer still high among the upper aerodigestive tract. 85–95% of these laryngeal cancer is squamous cell carcinoma. Locally advanced laryngeal cancer metastasize more. Supraglottic cancers have the highest prevalence of regional metastases among laryngeal cancers. Objectives: To evaluate the frequency of regional metastasis in supraglottic carcinoma of larynx. Methods: This cross-sectional study was conducted including 40 patients with supraglottic Carcinoma of Larynx over a period of six months from June to November 2014 in the ENT and Head Neck Surgery department of Rajshahi Medical College Hospital, Rajshahi. Those with glottic carcinoma, subglottic carcinoma, hypopharyngeal carcinoma, metastatic neck node without any primary site (Occult primary) were excluded from the study. FNAC from neck node was done in patients with palpable neck node. Results: Most of the patients 19 (47.5%) was in age group 50-60 years with mean age 54.5±13.2 years. Most of the patients present with more than one symptom & the commonest presenting symptoms was cough and irritation 35(87.5%) followed by dysphagia 26(65%) and change of voice 24(60%). A good number of patients, 16(40%) was presented with neck swelling. Among 40 patients, 16(40%) had their regional lymph nodes involved. Level-II lymph nodes were involved in higher number of cases 10(62.5%). Nodes in early stage of involvement were found in most cases 9(56.5%). Homolateral involvement of nodes was found in most cases 13(81.3%).Most of the supraglottic growths 22(55.0%) was exophytic in appearance. The common site of supraglottic carcinoma in this study was aryepiglottic fold and arytenoids 20(50.0%). Among the patients, 31(77.5%) had T2 tumours. Amon them, 16(40%) were in stage-III followed by stage-II 10(25%). Conclusion: Regional metastasis is a very useful prognostic indicator. Supraglottis is rich in lymphatic drainage and a high proportion of these tumors spread to lymph nodes. Bangladesh J Otorhinolaryngol 2022; 28(2): 180-185

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Bangladesh Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

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