华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

舌鳞状细胞癌区域淋巴结转移危险因素评估

胡晓文,孙宏晨,王淑艳,欧阳喈   

  1. 130041 吉林大学口腔医院颌面外科
  • 收稿日期:2003-04-25 修回日期:2003-04-25 出版日期:2003-04-20 发布日期:2003-04-20

HUXiaowen,SUNHongchen,WANG Shuyan,et al.   

  1. Hospital ofStomatology,Jilin University,Changchun130041,China
  • Received:2003-04-25 Revised:2003-04-25 Online:2003-04-20 Published:2003-04-20

摘要:

目的 探讨影响舌鳞癌淋巴结转移危险因素在预测颈淋巴结转移中的作用。方法 以106例舌鳞癌患者原始资料为基础,取病灶最大直径、肿瘤细胞分化程度、浸润方式及组织学恶性度分级为危险因素进行统计学分析。结果 原发灶直径及肿瘤细胞分化程度与颈淋巴结转移无明显相关意义;而浸润方式及组织学恶性度分级与颈淋巴结转移有明显相关性。结论 舌鳞癌发生区域淋巴结转移的危险因素是浸润方式及组织学恶性度分级。

关键词: 舌, 鳞状细胞癌, 淋巴结转移

Abstract:

Objective The purpose of this study was to investigate the risk factors involving lymph node metastasis of squamous cell carcinoma and evaluate if the risk factors would be effective in predicting neck lymph node metastasis.Methods  Based on the original data of 106 caseswith carcinoma of tongue, four related factors, including maximal diameter, degree of dif- ferentiation, mode of invasion and histological grade ofmalignancywere analyzed statistically.Results The maximal diameter and the grade of tumor cell differentiation showed no significant correlation with cervical lymph node metastasis; but the mode of inva- sion and the histological grade of malignancy demonstrated a significant correlation.Conclusion The results obtained suggested that the mode of invasion and the histological grade of malignancy were closely related to cervical lymph node metastasis.

Key words: tongue, squamous cell carcinoma, lymph node metastasis