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为了判定喉癌术前临床分期的准确性,将70例未经放疗的手术切除喉标本做了连续切片研究。我们看到,70例喉癌中有39例临床分期不准确(55.7％),分别为声门上癌22/38,声门癌4/11,超声门癌12/20,声门下癌1/1。2例属分期过高。37例属分期过低,其尿因是对肿瘤侵及喉深部组织喉骨架或向喉外侵犯估计不足。本文分析了癌细胞分化程度、肿瘤生长方式、间质细胞反应和“T”、“P”分期的关系,为临床工作提供了可靠的资料和数据。本文还将超声门癌列入了喉癌分类, 以补充 UICC TNM 分类分期的不足。
In order to determine the accuracy of preoperative clinical staging of laryngeal carcinoma, 70 consecutive laryngeal specimens without radiotherapy were serially studied. We can see that 39 of the 70 cases of laryngeal cancer have inaccurate clinical staging (55.7%), with supraglottic cancer 22/38, glottic cancer 4/11, ultrasound door cancer 12/20, and subglottic cancer 1/ 1. Two cases are too high in stages. In 37 cases, the stage was too low, and the urine was an insufficiency of the invasion of the tumor into the deep throat tissue or outside the throat. This article analyzes the relationship between the degree of cancer cell differentiation, tumor growth pattern, interstitial cell response and “T” and “P” staging, providing reliable data and data for clinical work. This article also included ultrasound door cancer in the classification of laryngeal cancer to supplement the deficiency of UICC TNM classification.