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口腔颌面部鳞状细胞癌淋巴结转移状况研究进展
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Abstract:
口腔颌面部鳞状细胞癌是颌面部较常见的恶性肿瘤之一，因发生部位的特殊性及颈部淋巴交通网丰富，形成了较高的淋巴结转移率。其治疗以外科手术和放疗、化疗为主。手术中淋巴结清扫范围的选择有各种不同的看法，文献报告癌细胞的浸润深度对淋巴转移有很大的影响，AJCC发布最新版TNM分期的T分期中加入了DOI指数，对淋巴清扫范围制定了方向。转移淋巴结ENE对愈后的影响及术后患者所面临的心理压力、生活负担也备受关注。本文就近年的口腔颌面部SCC的研究结果进行综述。
Oral and Maxillofacial squamous cell carcinoma is one of the more common malignant tumors of the maxillofacial region, which develops a high lymph node metastasis rate due to the specificity of the site of occurrence and the richness of the lymphatic traffic network in the neck. Its treatment is mainly based on surgery and radiotherapy and chemotherapy. There are various views on the se-lection of the extent of lymph node dissection during surgery, and the literature reports that the depth of infiltration of cancer cells has a great influence on lymphatic metastasis, and the AJCC re-leased the latest version of the TNM staging with the addition of the DOI index in the T stage, which has set the direction for the extent of lymphatic dissection. The impact of metastatic lymph node ENE on healing and the psychological pressure and burden of life faced by postoperative patients are also of great concern. In this article, we review the findings of oral and maxillofacial SCC in re-cent years.
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