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舌癌和口底癌的手术治疗,应考虑舌癌具有淋巴内扩散的倾向,各种方向的舌肌纤维同口底肌联系密切,舌的活动度很大,促使舌癌长入邻近的解剖结构。口底前部癌,有可能沿颌下腺导管扩散到颌下。作者分析舌癌(129例)和口底癌(89例)不同手术类型的治疗效果,全部病例都曾接受放疗,部分病例施行了一种或多种化疗。
Surgical treatment of tongue cancer and floor cancer should consider the tendency of tongue cancer to spread in the lymphatics. The tongue muscle fibers in various directions are closely related to the mouth muscles, and the tongue activity is very large, which promotes the tongue cancer to grow into adjacent anatomical structures. . The cancer at the base of the mouth may spread to the submandibular area along the submandibular duct. The authors analyzed the effects of different types of surgery for tongue cancer (129 cases) and floor cancer (89 cases). All cases had received radiotherapy, and some cases had one or more chemotherapy.