下腺在部剖析:必要的死亡或不幸的猎物?
Tashnin Rahman1, Kirti Khandelwal1, Srinivas Bannoth1
1Dr. B. Borooah Cancer Institute, Guwahati, India.
概括
下腺参与口腔癌是罕见的 (3.8%),但与晚期疾病因素相关. 在没有特定风险因素的情况下,在早期的口腔粘膜癌症中可能存在保存.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 口腔病理学 口腔病理学
背景情况:
- 下腺切除在部剖析中是标准的.
- 了解下腺参与口腔癌对于手术决策至关重要.
研究的目的:
- 为了确定下下腺参与状细胞口腔癌的患病率.
- 确定与口腔癌患者下下腺转移相关的因素.
主要方法:
- 对317名患者进行了回顾性观察性研究.
- 从2018年1月到2020年2月收集的数据.
- 下腺参与和相关的临床病理因素的分析.
主要成果:
- 下腺参与的患病率为3.8%.
- 与Ib级节点参与 (OR 13.6),节外延伸 (OR 67) 和围入侵 (OR 5) 相关的风险增加.
- 这些因素具有统计学意义 (p < 0.001对于节点和ENE,p = 0.003对于PNI).
结论:
- 在早期的口腔粘膜癌症中,下腺的保存可能是可行的.
- 在没有额外节点延伸和Ib级参与的情况下,建议保存.
- 这种方法可以帮助避免与腺切除相关的不必要的发病率.
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