本文作者分析发于声带未经治疗的T_4鳞癌 51例,选择此组病人进行治疗,至少作全喉切除术。经病理科医生证实,其中47例尚有喉外癌病变。73％临床检查为颈淋巴结阴性,但病理检查发现20％为假阴性。21％在转院之前已作过紧急气管切开术。另8％入院时需作紧急气管切开术或喉切除术。16例于术后进行放疗。 The authors analyzed 51 cases of untreated squamous cell carcinoma of the thoracic vocal cords (T4) and selected this group of patients for treatment, at least for total laryngectomy. The pathologist confirmed that 47 of them had extralaryngeal cancer lesions. 73% of clinical examinations were negative for cervical lymph nodes, but pathological examination found that 20% were false negatives. 21% had had an emergency tracheotomy before the transfer. Another 8% required hospital emergency tracheotomy or laryngectomy. 16 patients were treated with radiotherapy after surgery.