구강편평세포암종에서 임상적 N0 경부의 경부 곽청술 후 병리학적인 비교

• 영문명: NECK DISSECTION OF CLINICALLY N0 NECK OF ORAL SQUAMOUS CELL CARCINOMA & PATHOLOGIC COMPARISON
• 발행기관: 대한구강악안면외과학회
• 저자명: 강진한(Jin-Han Kang) 안강민(Kang-Min Ahn) 이상우(Sang-Woo Lee) 명훈(Hoon Myoung) 이종호(Jong-Ho Lee) 김명진(Myung-Jin Kim)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제33권 제6호, 591~596쪽, 전체 6쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2007.12.30

영문 초록

Neck node metastasis of oral cancer can be diagnosed by bimanual palpation, CT, MRI and neck sonography and the final diagnosis can be confirmed by pathologic evaluation of the neck nodes after elective neck dissection. When we meet clinically negative neck node (N0 neck) of oral squamous cell carcinoma, the treatment modality of the neck nodes with the primary lesions are so controversial. The usually used methods are various from close observation to elective radiation and elective neck dissection. The methods can be chosen by the primary size of the carcinoma, site of the lesions and the expected percentage of the occult metastasis to the neck. We reviewed the 86 patients from 1996 to 2006 who were diagnosed as oral squamous cell carcinoma, whose necks were diagnosed negative in radiographically and clinically. According to TNM stage, the patients were in the states of N0 and treated by surgery using mass excision and elective neck dissection. We compared the differences between the clinical diagnoses and pathologic reports and would discuss the needs for elective neck dissection.

키워드

Elective neck dissection Oral squamous cell carcinoma Occult metastasis