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该文旨在评估IV区淋巴结转移在头颈鳞癌(HNSCC)中的预测意义。对111例经过临床和病理证实的HNSCC患者行原发灶切除联合单侧或双侧颈淋巴清扫术,术后对淋巴结标本进行检测。结果:33(29.7%)例患者出现IV区淋巴结转移,这些患者中,12(36.4%)例发生肺部转移;在78(16.7%)例未发现IV区淋巴结转移的患者中,13例发生肺转移(P=0.04)。多因素分析证实,IV区淋巴结转移与肺部转
This article aims to assess the predictive value of IV node lymph node metastasis in head and neck squamous cell carcinoma (HNSCC). 111 cases of clinically and pathologically confirmed HNSCC patients with primary tumor resection combined with unilateral or bilateral neck dissection, lymph node specimens were detected after operation. RESULTS: Thirty-four (29.7%) patients developed regional lymph node metastases in Section IV, and 12 (36.4%) developed pulmonary metastases in these patients. Thirteen of 78 (16.7%) patients with no IV metastasis were found Lung metastasis (P = 0.04). Multivariate analysis confirmed that the IV area lymph node metastasis and lung rotation