Management of contralateral no neck in oral cavity squamous cell carcinoma
Management of contralateral no neck in oral cavity squamous cell carcinoma
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DOI：
10.1002/hed.20423
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发表时间：
2006-10-01
影响因子：
2.9
通讯作者：
Choi, Eun Chang
中科院分区：
文献类型：
--
作者：
Koo, Bon Seok;Lim, Young Chang;Choi, Eun Chang
背景。本研究旨在探讨口腔鳞状细胞癌对侧隐匿淋巴结转移的发生率及预测因素，为选择性对侧颈部治疗提供合理依据。我们回顾性分析了从1991年到2003年66例因对侧临床阴性颈部而行择期颈部清扫术的N0-2口腔癌患者。临床阴性但病理阳性的对侧淋巴结占11%（66例中的7例）。在11例临床阳性的同侧淋巴结颈部患者中，36%（11例中的4例）发生了对侧隐匿淋巴结转移，而在临床阴性的同侧淋巴结颈部患者中，这一比例为5%（55例中的3例）
Background. The purpose of this study was to evaluate the incidence and predictive factors of contralateral occult lymph node metastasis in squamous cell carcinomas of the oral cavity to form a rational basis for elective contralateral neck management.Methods. We performed a retrospective analysis of 66 patients with cancer of the N0-2 oral cavity undergoing elective neck dissection for contralateral clinically negative necks from 1991 to 2003.Results. Clinically negative but pathologically positive contralateral lymph nodes occurred in 11% (7 of 66). Of the 11 cases with a clinically positive ipsilateral node neck, contralateral occult lymph node metastases developed in 36% (4 of 11), in contrast with 5% (3 of 55) in the cases with clinically NO ipsilateral necks (p