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作者分析56例口咽部恶性肿瘤外科治疗结果。口咽部鳞状细胞癌Ⅲ期41例,男36,女5。大多数(32例)年龄40～60岁。这些病人均曾接受放疗和药物疗法,没有1例肿瘤消退。手术后复发13例(31.7%)。联合性手术(舌根及后三分之一,口咽侧壁、口底组织及下颌骨部分切除)37例,复发10例(27%);经口腔切除肿瘤4例,只有1例随访2年以上未复发。舌根癌复发大多数发生在舌和口底、软腭和腭弓,提示应向这些部位
The authors analyzed the results of surgical treatment of 56 cases of oropharyngeal malignancies. Oral pharyngeal squamous cell carcinoma of stage III 41 cases, 36 males and 5 females. Most (32 patients) were 40 to 60 years old. All of these patients had received radiotherapy and drug therapy and none of the patients had subsided. 13 cases (31.7%) recurred after surgery. Combined surgery (the tongue root and the posterior third, the oropharyngeal side wall, the floor of the mouth, and partial removal of the mandible) in 37 cases, recurrence in 10 cases (27%); 4 cases undergoing oral excision of the tumor, only 1 case was followed up for 2 years No recurrence. Most tongue root cancer recurrences occur at the base of the tongue and mouth, soft palate and zygomatic arch, suggesting that these should be