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在T4a类别下,是否应该下调到T4a类别的口腔癌?

Remo Accorona¹, Pietro Perotti², Armando De Virgilio³

¹Unit of Otorhinolaryngology, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore 3, 20162, Milano, Italy. dott.remoaccorona@gmail.com.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|April 26, 2025

概括

涉及口空间的T4b口腔癌的彻底切除提供了良好的结果,与T4a口腔状细胞癌相提并论. 在这些边界可操作病例中,建议进行区块内切除,以获得最佳的边缘控制.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
口腔癌研究在口腔癌研究.

背景情况:

在口腔状细胞癌中,腔空间的参与构成了外科手术的挑战.
准确的分期对于治疗规划和预测瘤结果至关重要.

研究的目的:

评估T4b口腔状细胞癌与空间参与的根基切除的可靠性.
为了比较T4b口腔癌的瘤结局与T4a口腔状细胞癌.

主要方法:

一个临床文献综述,重点关注口腔状细胞癌与空间参与.
对10项选定的研究进行分析.

主要成果:

使用分隔式方法进行的En-bloc切除在T4b口腔癌和T4a口腔状细胞癌中产生了类似的结果.
的空间可以在解剖学上分为以下和上方的空间.

结论:

空间的区块切除是实现边缘控制的首选手术方法.
手术是这种"边界可操作"口腔癌组的首要治疗方法.
在T4a和内T4b癌症之间,类似的生存结果表明,位空间参与的潜在降级到T4a.

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