Acta Metallurgica Sinica

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  • Online:2020-06-15 Published:2020-09-21

口底癌淋巴结转移与颈淋巴清扫术式选择

胡砚平1,贾俊2    

  1. 1.厦门医学院附属口腔医院口腔颌面外科,福建 厦门  361003;2.武汉大学口腔医学院·口腔医院口腔颌面外科,湖北省口腔基础医学重点实验室-省部共建国家重点实验室培育基地,教育部口腔生物医学工程重点实验室,湖北  武汉  430079
  • 作者简介:胡砚平,医学博士、主任医师。现工作于厦门医学院附属口腔医院口腔颌面外科。兼任中华口腔医学会口腔颌面外科专业委员会委员,福建省口腔医学会口腔颌面外科专业委员会副主任委员。主要研究方向为颌面部肿瘤。

Abstract: Squamous cell carcinoma of the floor of the mouth not only has the common features of oral cancer,but also has unique characteristics,on of which is the metastasis of cervical lymph nodes at the early stage. Some clinical and histopathological features have been demonstrated to be predictive factors of cervical lymph node metastasis of the floor-of- mouth carcinoma,such as the depth of invasion,perineural invasion,lymphovascular invasion and others,and several forms of neck dissections  are applied based on the involvement status of cervical lymph nodes metastasis in these patients.

Key words: the floor of the mouth, squamous cell carcinoma, metastasis, neck dissection

摘要: 口底癌既有口腔癌的共性,又有其独有的特点,早期颈淋巴结转移即是其中之一。部分临床病理特点,如肿瘤浸润深度、神经浸润、脉管浸润等是口底癌颈淋巴结转移的重要影响因素。基于淋巴结转移的不同状况,有几种颈淋巴清扫术常用于这些病变的处理。

关键词: 口底, 鳞癌, 转移, 颈淋巴清扫术