鼻咽癌放化疗后颈部淋巴结残留及复发的外科治疗综述  

Review in the surgical management for residual and recurrent neck lymph node of nasopharyngeal carcinoma after radiotherapy and chemotherapy

作　　者：韩立涛[1] 渠宁[1] 史荣亮(综述)[1] 嵇庆海[1] 孙国华(审校)[1] HAN Litao;QU Ning;SHI Rongliang;JI Qinghai;SUN Guohua(Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China)

机构地区：[1]复旦大学附属肿瘤医院头颈外科,复旦大学上海医学院肿瘤学系,上海200032

出　　处：《中国癌症杂志》2017年第6期505-509,共5页China Oncology

摘　　要：颈部淋巴结转移是鼻咽癌初诊常见症状,经放化疗后部分患者仍存在颈部淋巴结残留或复发。外科手术是鼻咽癌颈部淋巴结残留和复发挽救治疗的重要手段之一,对延长鼻咽癌患者的生存时间和改善生活质量有重要意义。该文总结了近年来国内外手术治疗的相关文献,归纳了鼻咽癌颈部淋巴结残留和复发的规律、不同手术方式的应用指征及疗效。Metastasis is one of the main complaints of nasopharyngeal carcinoma.After radiotherapy and chemotherapy,residual and recurrent lymph nodes in the neck are still partially seen.Neck dissection is an important salvage treatment to improve survival and life quality.The present review summarizes the distribution of residual and recurrent lymph nodes,the applications of different salvage surgeries and outcomes.

关 键 词：颈清扫 鼻咽癌 淋巴结残留 复发 

分 类 号：R739.62[医药卫生—肿瘤] R739.63[医药卫生—临床医学]