喉癌颈淋巴结转移的病理分型和临床意义  

Significance of pathological type in cervical lymph metastasis of laryngeal cancer

作　　者：季文樾[1] 于靖寰[1] 关超[1] 

机构地区：[1]中国医科大学第一临床学院耳鼻咽喉科,沈阳110001

出　　处：《临床耳鼻咽喉科杂志》1998年第7期291-292,共2页Journal of Clinical Otorhinolaryngology

摘　　要：为研究喉癌颈淋巴结转移的病理分型及其临床意义，在光镜下观察55例（93侧）颈廓清标本的转移淋巴结。显示：单发型21例（38．2％），其中90．0％是潜在性转移，3年生存率为90.5％；多发型10例（18．2％），70．0％是潜在性转移，术后病理均是N2，3年生存率是70.0％；融合型24例（43．6％），92％术前可触到淋巴结，3年生存率是54．2％。提示喉癌颈淋巴结转移病理上可以分为3型。此种分型具有指导治疗和估计预后等临床意义。To research significance of pathological type in cervical lymph metastasis of laryngeal cancer. Observing metastasis lymph nodes in serial sections of 55 cases neck dissection specimens with microscope. Single type 21 cases, 90% of them were occult metastasis, three-year survival rate was 90%. Multiple types 10 cases, 70% of them were occult metastasis,three-year survival rate was 70%. Gathering type 24 cases, 92 % of them can be palpated by physician,three-year survival rate was 54%. It is suitable that cervical metastasis lymph nodes of laryngeal cancer were divided into three types in pathology. It is significance for treatment and prognosis.

关 键 词：喉肿瘤 淋巴转移瘤 病理分型 颈部肿瘤 

分 类 号：R739.650.6[医药卫生—肿瘤] R739.910.2[医药卫生—临床医学]