지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 299 - 305 (7page)
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초록· 키워드
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Objectives: This article describes our experience with neck dissection in 10 patients with oral squamous cell carcinoma. Materials and Methods: Between January 2007 and October 2009, 10 patients underwent primary surgery for the treatment of squamous cell carci-noma of the oral cavity. For patients with N0 disease on clinical exam, selective neck dissection (SND [I-III]) was performed. In patients with palpable cervical metastases (N+), modifiedradical neck dissections were performed, except in one patient in whom SND (I-III) was performed. The histopath-ologic reports were reviewed to assess the surgical margins, the presence of extra-capsular spread, perineural invasion, and lymphatic invasion.Results: On histopathologic examination, positive soft tissue margins were found in three patients, and regional lymph node metastases were present in fiveof the ten patients. Perineural invasion was noted in fivepatients, and extra nodal spread was found in four patients. Regional recurrence was seen in two patients and loco-regional recurrence plus distant metastasis to the tibia was observed in one patient. During the study period, three patients died. Seven patients remain free of disease to date.Conclusion: Histopathological evaluation provides important and reliable information for disease staging, treatment planning, and prognosis. The philosophy of neck dissection is evolving rapidly with regard to the selectivity with which at-risk lymph node groups are removed. The sample size in the present study is small, thus, caution should be employed when interpreting these results.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Andersen PE / 1994 / he role of comprehensive neck dissection with preservation of the spinal accessory nerve in the clinically positive neck / Am J Surg 168 : 499 ~ 502
Andersen PE / 1996 / The extent of neck disease after regional failure during observation of the N0neck / Am J Surg 172 : 689 ~ 691
Campana JP / 2006 / The surgical management of oral cancer / Otolaryngol Clin North Am 39 : 331 ~ 348
Carlson ER / 2006 / Neck dissections for oral/head and neck cancer: 1906-2006 / J Oral Maxillofac Surg 64 : 4 ~ 11
Chiesa F. / 2006 / Centenary of Crile's operation. From radical to selective neck dissection / Acta Otorhinolaryngol Ital 26 : 307 ~ 308
Andersen PE / 1996 / The extent of neck disease after regional failure during observation of the N0neck / Am J Surg 172 : 689 ~ 691
Campana JP / 2006 / The surgical management of oral cancer / Otolaryngol Clin North Am 39 : 331 ~ 348
Carlson ER / 2006 / Neck dissections for oral/head and neck cancer: 1906-2006 / J Oral Maxillofac Surg 64 : 4 ~ 11
Chiesa F. / 2006 / Centenary of Crile's operation. From radical to selective neck dissection / Acta Otorhinolaryngol Ital 26 : 307 ~ 308
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