【摘要】：舌鱗狀細(xì)胞癌位居口腔癌首位,頸淋巴結(jié)轉(zhuǎn)移妨礙其治療。頸淋巴結(jié)轉(zhuǎn)移分為微轉(zhuǎn)移和包膜外轉(zhuǎn)移,前者與腫瘤預(yù)后較差相關(guān),后者對患者的生存率影響更大。舌鱗狀細(xì)胞癌的淋巴結(jié)轉(zhuǎn)移多為Ⅰ~Ⅲ區(qū),原發(fā)灶浸潤深度對頸部隱匿性淋巴轉(zhuǎn)移有較高的預(yù)測價值。舌鱗狀細(xì)胞癌頸淋巴結(jié)轉(zhuǎn)移存在著一定的規(guī)律性,與其病理分級、神經(jīng)和血管侵犯、浸潤深度等多方面因素相關(guān)。頸淋巴結(jié)轉(zhuǎn)移的臨床評估除需借助B超、CT、磁共振成像、正電子發(fā)射斷層攝影術(shù)等影像學(xué)輔助檢查技術(shù)外,還需借助細(xì)胞細(xì)針吸取活檢和前哨淋巴結(jié)活檢來確認(rèn)。迄今有關(guān)舌鱗狀細(xì)胞癌的頸淋巴結(jié)處理仍無定論,臨床選擇上存在著仁者見仁智者見智的現(xiàn)象。目前,舌鱗狀細(xì)胞癌的頸淋巴結(jié)處理主要為頸淋巴結(jié)清掃和隨訪觀察兩種方式,早發(fā)現(xiàn)、早診斷、早治療仍是解決其問題的主要方式。
[Abstract]:Squamous cell carcinoma of the tongue ranks first in oral cancer and cervical lymph node metastasis hinders its treatment. Cervical lymph node metastasis can be divided into micrometastasis and extracapsular metastasis. The former is associated with poor prognosis and the latter has greater influence on the survival rate of the patients. Lymph node metastasis in squamous cell carcinoma of tongue is mostly in region 鈪，

本文編號：2432836