论文部分内容阅读
早在1930年,Willis便报告了头颈部转移性鳞癌具有破坏淋巴结被膜、浸润周围组织的倾向。为了摸清经被膜蔓延的发病率、范围以及临床病理关系,作者对210例根治性颈廓清标本做了统计分析。这些标本来自203例头颈部鳞癌病人,其中男149人,女54,年龄20～86岁。原发部位包括舌、口咽、喉、下咽、口底、牙槽、颊粘膜、鼻咽、唇、鼻腔、外耳道、泪囊等,其中多数病例为晚期癌。203例中,138例曾接受过术前放疗。从210例颈廓清标本中共找到6260个淋巴结,未放疗标本中淋巴结数目比放疗标本为多。经病理证实,159例(76％)颈廓清标本中含有转移性鳞癌,
As early as 1930, Willis reported that head and neck metastatic squamous cell carcinoma had a tendency to destroy the lining of the lymph nodes and infiltrate the surrounding tissues. In order to find out the incidence of the spread of the film, the scope and clinical and pathological relationships, the author of 210 cases of radical neck dissection made a statistical analysis. These specimens from 203 cases of head and neck squamous cell carcinoma patients, including 149 males and 54 females, aged 20 to 86 years. Primary sites include the tongue, oropharynx, larynx, hypopharynx, mouth bottom, alveolar, buccal mucosa, nasopharynx, lip, nasal cavity, external auditory canal, lacrimal sac, etc., most of the cases of advanced cancer. Among the 203 cases, 138 had received preoperative radiotherapy. A total of 6260 lymph nodes were found from 210 cases of neck clearance, and the number of lymph nodes in untreated specimens was more than that of radiotherapy specimens. The pathology confirmed that 159 cases (76%) neck clear serum specimens containing metastatic squamous cell carcinoma,