초기설암치료시 예방적 경부곽청술의 의의
the importance of the prophylactic neck dissection in the early-stage tongue cancer
오덕환, 구본천, 장인석, 우도관직수,
소속 상세정보
오덕환 ( ) - 경희대학교 식품공학과
구본천 ( ) - 경희대학교 식품공학과
장인석 ( ) - 경희대학교 식품공학과
우도관직수 ( ) - 경희대학교 식품공학과
KMID : 0360119950170010073
Abstract
The poor survival rates of patients with carcinoma of a tongue, despite of modern therapy, is well recognized. One of the most important prognostic factors is status of the cervical lymph nodes. There have been a long-standing debate about the
treatment
of cervical lymph nodes in early-stage tongue cancer. There are two major treatment opinion. The one is surgical excision of primary tumor with prophylactic neck dissection, simultaneously, and the other is to delay the cervical therapy until
cervical
lymph node is palpable.
Recently we have experienced the early cervical metastasis in three patients who had been diagnosed as a carcinoma of the tongue. They were T1, T2 lesion and no palpable node was found. But histopathologic examination showed the occult metastasis
or
delayed cervical metastasis was occured. By the review of literature and clinical experience, we could conclude the prophylactic neck dissection offers a better chance for success than therapeutic neck dissection of palpable lymph nodes, in case
oral
tongue cancer.
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