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为研究喉癌颈淋巴结转移的病理分型及其临床意义,在光镜下观察55例(93侧)颈廓清标本的转移淋巴结。显示:单发型21例(38.2%),其中90.0%是潜在性转移,3年生存率为90.5%;多发型10例(18.2%),70.0%是潜在性转移,术后病理均是N2,3年生存率是70.0%;融合型24例(43.6%),92%术前可触到淋巴结,3年生存率是54.2%。提示喉癌颈淋巴结转移病理上可以分为3型。此种分型具有指导治疗和估计预后等临床意义。
In order to study the pathological classification of cervical lymph node metastasis of laryngeal carcinoma and its clinical significance, 55 cases (93 sides) of cervical lymph node metastasis were observed under light microscope. The results showed that 21 cases (38.2%) were single-type, of which 90.0% were potential metastasis and 3-year survival rate was 90.5%, 10 cases (18.2%) were multimodal and 70.0% were potential metastasis , Postoperative pathology was N2, 3 year survival rate was 70.0%; fusion in 24 cases (43.6%), 92% preoperative palpable lymph nodes, 3-year survival rate was 54.2%. Tip laryngeal cervical lymph node metastasis can be divided into three types. This classification has the clinical significance of guiding treatment and prognosis.