颈部取样清扫在早期舌癌中的作用

IF 0.1 Q4 OTORHINOLARYNGOLOGY
Shoukat Ali, SM Masudul Alam, M. Alam, A. Sattar, M. Uddin, B. Siddiquee
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引用次数: 0

摘要

背景:口腔舌癌有很大的转移扩散到颈部淋巴结的可能性,早期临床可能无法发现。本研究旨在检测临床N例早期口腔舌癌(I期和II期)患者隐匿性颈部转移的频率。方法:对2016 - 2018年在达卡三所三级医院就诊的50例患者进行为期2年的横断面研究。结果:患者以男性居多(M:F=3:2),年龄25 ~ 80岁。其中38例(76%)处于t1期,其余12例(24%)处于t2期。舌溃疡最常见(84%),其次是吞咽困难(64%)和疼痛(52%)。只有32例(64%)患者未发现组织病理学证实的转移(真N 0)。男性隐匿性淋巴结转移发生率(83.33%)显著高于女性(p<0.01), 50岁以下年龄组隐匿性淋巴结转移发生率(72.22%)显著高于女性(p<0.01)。t2期取样淋巴结阳性者占66.67%,差异有统计学意义(p<0.01)。结论:在口腔舌早期癌的临床分期、放射学分期、组织病理学分期及分期转移等方面,各方法有明显的差异。本研究建议对早期口舌癌的前哨淋巴结进行颈部清扫取样。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Sampling Neck Dissection in Early Oral Tongue Carcinoma
Background: Carcinoma of oral tongue has a great potential for metastatic spread to neck nodes, which may not be clinically detected in early stage. To detect frequency of occult neck metastasis in clinically N o patients with early oral tongue carcinoma (stage I & II) the study has done. Methods: It was a 2 years cross sectional study among fifty patients in three tertiary care hospitals of Dhaka from 2016 to 2018. Results: Majority of the patients were male (M:F=3:2) with age ranged 25 to 80 years. Among these patients 38(76%) were in T 1 and remaining 12(24%) in T 2 stage. Tongue ulceration was most common(84%) presenting feature followed by dysphagia(64%) and pain(52%).Only 32(64%) patients revealed no histopathological proved metastasis(true N 0 ). Occult nodal metastasis was significantly common(83.33%) among male patients than females(p<0.01) and also common(72.22%) among < 50 years age group(p<0.01).Sampling node positive was significantly more(66.67%) in T 2 stage(p<0.01). Conclusion: Regarding clinical, radiological and histopathological stages and stage migration of early carcinoma in oral tongue this study revealed significant differentiation among these methods. This study implies sampling neck dissection of sentinel neck nodes in early oral tongue carcinoma for management.
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