喉癌颈部淋巴结触诊阳性对N分级的参考价值  

Evaluation of N staging of cervical lymph nodes with positive palpation in laryngeal carcinoma

作　　者：关超[1] 柳斌[1] 于靖寰[1] 冯勇 

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 [2]沈阳市新城子医院病理科

出　　处：《临床耳鼻咽喉科杂志》1999年第9期390-391,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的：客观评价临床上颈部淋巴结触诊阳性对 Ｎ 分级的参考价值。方法：采用颈廓清透明淋巴结摘出连续切片法，病理观察转移情况。结果：１００ 例中淋巴结触诊阳性 １１４ 个，病理证实有转移者 ８１ 个，符合率为７１．１％ 。临床 Ｎ 分级与病理 Ｎ 分级对比，符合率分别为： Ｎ１３５．６％ ， Ｎ２ａ ２５．０％ ， Ｎ２ｂ５８．３％ ， Ｎ２ｃ７５．０％ ， Ｎ３ １００．０％ 。结论：临床上单靠触诊大小进行 Ｎ 分级尚有不足。Objective:To evaluate N staging of cervical lymph nodes with positive palpation objectively.Method:Serial sections of lymph nodes of neck dissections with transparent methods were observed under light microscope.Result:81 lymph nodes with pathological metastases were verified in 100 patients with 114 palpation positive lymph nodes.The correspondent rate was 71.1 %.The correspondent rate of clinical N via pathological N staging was N 1 35.6 %,N 2a 25.0 %,N 2b 58.3 %,N 2c 75.0 %,N 3 100.0 % respectively.Conclusion:N staging judged only by palpation is not sufficient in clinic.It should be combined with other examinations.

关 键 词：喉肿瘤 触诊 淋巴转移 肿瘤分期 

分 类 号：R739.650.4[医药卫生—肿瘤]