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作者于1958～1969年曾治疗125例矛龈鳞癌,均经病理检查证实。21例(17％)入院时颈淋巴结可触及,用穿刺吸引活检及涂片细胞学检查,证实为肿瘤转移。19例经5年观察,2例经8年观察。 21例病人的年龄为47～87岁,平均68岁,除2例外,其余均超过50岁。男性15例,女性6例。原发瘤的位置为:下牙龈12例,上牙龈8例,侵及上下牙龈者1例。溃疡型最常见共17例。
The author treated 125 cases of spear squamous cell carcinoma from 1958 to 1969 and were confirmed by pathological examination. Twenty-one patients (17%) were palpable cervical lymph nodes on admission. Biopsy and smear cytology were performed with puncture and confirmed as tumor metastases. 19 cases were observed after 5 years, 2 cases were observed after 8 years. The ages of 21 patients ranged from 47 to 87 years and averaged 68 years. Except for 2 exceptions, the rest were over 50 years old. There were 15 males and 6 females. The location of the primary tumor was: 12 cases of lower gingiva, 8 cases of upper gingiva, 1 case of invading upper and lower gingiva. The most common type of ulcer is 17 cases.