구강편평세포암종에서 임상적 N0 경부의 경부 곽청술 후 병리학적인 비교
NECK DISSECTION OF CLINICALLY N0 NECK OF
강진한, 안강민, 이상우, 명훈, 이종호, 김명진,
소속 상세정보
강진한 ( Kang Jin-Han ) - 한림대학교 한강성심병원 구강악안면외과
안강민 ( Ahn Kang-Min ) - 울산대학교 의과대학 서울아산병원 구강악안면외과
이상우 ( Lee Sang-Woo ) - 서울대학교 치과대학 구강악안면외과
명훈 ( Myoung Hoon ) - 서울대학교 치과대학 구강악안면외과
이종호 ( Lee Jong-Ho ) - 서울대학교 치과대학 구강악안면외과
김명진 ( Kim Myung-Jin ) - 서울대학교 치과대학 구강악안면외과
KMID : 0355620070330060591
Abstract
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
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