下颌牙龈鳞状细胞癌骨侵犯及浸润深度评估方法研究进展  

Progress in the methods for evaluating depth of bone invasion and bone invasion of lower gingival squamous cell carcinoma

作　　者：任晓彦 南欣荣 李瑞芳[3] 闫星泉 张海峰[3] Ren Xiaoyan;Nan Xinrong;Li Ruifang;Yan Xingquan;Zhang Haifeng(Shanxi Medical University School of Stomatology,Taiyuan 030001,China;Department of Oral and maxillofacial,Shanxi Medical University School of Stomatology,Taiyuan 030001,China;Department of Oral and Maxillofacial,Shanxi Medical University and The First Hospital,Taiyuan 030001,China)

机构地区：[1]山西医科大学口腔医学院,太原030001 [2]山西医科大学口腔医学院口腔颌面外科教研室,太原030001 [3]山西医科大学第一医院口腔颌面外科,太原030001

出　　处：《中华口腔医学杂志》2022年第7期769-774,共6页Chinese Journal of Stomatology

基　　金：山西省基础研究计划(202103021224413)。

摘　　要：浸润深度是第八版口腔癌TNM分类分期中新增的指标,下颌牙龈鳞状细胞癌(lower gingival squamous cell carcinoma,LGSCC)骨侵犯及浸润深度的诊断目前尚无标准化的评估方法。LGSCC骨浸润深度的评估不仅为手术切缘提供参考,更决定了手术方式的选择,也是预测颈淋巴转移的独立预后因素。目前LGSCC骨侵犯及浸润深度主要的评估方法有X线、MRI、多种CT及病理学检查等。本文对LGSCC骨侵犯及浸润深度的评估方法及效果进行概述,并分析其优点及不足,以期为临床应用提供参考。The depth of invasion is a new index in the 8th edition of TNM classification and staging of oral cancer.Currently,there is no standardized evaluation method for the diagnosis of bone invasion and depth of invasion in lower gingival squamous cell carcinoma(LGSCC).The evaluation of LGSCC bone invasion depth not only provides a reference for surgical margin,but also determines the choice of surgical method,and is an independent prognostic factor for predicting cervical lymphatic metastasis.At present,the main evaluation methods of LGSCC bone invasion and invasion depth include X-ray,MRI,CT,positron emission tomography(PET)/CT,PET/MRI,singlephoton emission CT(SPECT)/CT and pathological examination.In this paper,the evaluation methods and effects of LGSCC bone invasion and invasion depth are summarized,and its advantages and disadvantages are analyzed in order to provide reference for clinical application.

关 键 词：下颌牙龈 鳞状细胞癌 骨侵犯 浸润深度 

分 类 号：R739.8[医药卫生—肿瘤]