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目的 探讨影响舌鳞癌淋巴结转移危险因素在预测颈淋巴结转移中的作用。方法 以 10 6例舌鳞癌患者原始资料为基础 ,取病灶最大直径、肿瘤细胞分化程度、浸润方式及组织学恶性度分级为危险因素进行统计学分析。结果 原发灶直径及肿瘤细胞分化程度与颈淋巴结转移无明显相关意义 ;而浸润方式及组织学恶性度分级与颈淋巴结转移有明显相关性。结论 舌鳞癌发生区域淋巴结转移的危险因素是浸润方式及组织学恶性度分级。
Objective To investigate the role of risk factors of lymph node metastasis in cervical lymph node metastasis in tongue squamous cell carcinoma. Methods Based on the original data of 106 cases of tongue squamous cell carcinoma, the maximum diameter of tumor, the degree of tumor cell differentiation, the infiltration pattern and histological grade of malignancy were used as the risk factors for statistical analysis. Results There was no significant correlation between the diameter of primary tumor and the differentiation of tumor cells and cervical lymph node metastasis. However, the infiltration pattern and histological grade of malignancy were significantly correlated with cervical lymph node metastasis. Conclusion The risk factors of regional lymph node metastasis in tongue squamous cell carcinoma are the infiltration pattern and histological grade of malignancy.