Treatment of cervical lymph nodes in carcinoma of the tongue.
Treatment of cervical lymph nodes in carcinoma of the tongue.
复制标题
舌癌颈部淋巴结的治疗。
DOI：
10.1002/hed.2890050103
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发表时间：
1982
期刊：
影响因子：
--
通讯作者：
James A. Hokanson
中科院分区：
文献类型：
--
作者：
Bruce Leipzig;James A. Hokanson
区域淋巴结的治疗是舌癌患者治疗中不可或缺的一部分。它是最重要的生存决定因素。虽然存活率与原发肿瘤的大小相关，但也可能是因为较大的肿瘤转移结节的发生率较高。对侧颈部结节的发生率很高，必须考虑对侧颈部的治疗，即使是较小的舌癌。舌前癌和舌后癌具有同等的侵袭性。对舌癌治疗失败原因的分析强调，太多的临床I期和II期癌症--那些临床颈部检查阴性的癌症--实际上是病理III期癌症。
Treatment of the regional lymph nodes forms an integral part of the management of any patient with carcinoma of the tongue. It is the most important determinant of survival. Although survival correlates with the size of the primary tumor, it may also be explained by the higher incidence of metastatic nodes in larger lesions. The incidence of contralateral neck nodes is high, and treatment of the contralateral neck, even in smaller carcinomas of the tongue, must be considered. Anterior tongue carcinomas are equally as aggressive as posterior carcinomas of the tongue. An analysis of the cause of failure following treatment of tongue carcinomas emphasizes the fact that too many clinical stages I and II cancers--those with clinically negative neck examination--are in fact pathologic stage III cancers.