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구강편평세포암종에서 임상적 N0 경부의 경부 곽청술 후 병리학적인 비교

Neck dissection of clinically N0 Neck of oral squamous cell carcinoma & pathologic comparison

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Abstract

Neck node metastasis of oral cancer can be diagnosed by bimanual palpation, CT, MRI and neck sonography and the final diagnosis can be confirmed by pathologic evaluation of the neck nodes after elective neck dissection. When we meet clinically negative neck node (N0 neck) of oral squamous cell carcinoma, the treatment modality of the neck nodes with the primary lesions are so controversial. The usually used methods are various from close observation to elective radiation and elective neck dissection. The methods can be chosen by the primary size of the carcinoma, site of the lesions and the expected percentage of the occult metastasis to the neck. We reviewed the 86 patients from 1996 to 2006 who were diagnosed as oral squamous cell carcinoma, whose necks were diagnosed negative in radiographically and clinically. According to TNM stage, the patients were in the states of N0 and treated by surgery using mass excision and elective neck dissection. We compared the differences between the clinical diagnoses and pathologic reports and would discuss the needs for elective neck dissection.

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관련 논문AI추천

구강암 경부임파절 전이에 대한 술전 평가의 정확성남웅, 이재준, 차인호대한구강악안면외과학회 · 대한구강악안면외과학회지2006 · 제32권 제2호경부 전이가 동반된 두경부 편평세포암종 환자에서 제3형 변형 근치적 경부절제술의 의의태경, 박철원, 신광수, 이근영, 이용섭, 이형석대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2007 · 제50권 제10호임상적 N0 구강설암에서 치료 결과김민식, 선동일, 신지현, 이창훈, 조승호, 주영훈대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2007 · 제50권 제10호N0 설암에서 술 중 파수꾼 림프절 조직검사의 임상적 유용성에 관한 예비고찰김민식, 김주환, 선동일, 조광재, 조승호대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2003 · 제46권 제6호구강저 편평세포암종의 수술적 치료성적 및 실패양상김성현, 송미현, 신중욱, 이욱진, 이헌석, 임영창, 최은창대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2004 · 제47권 제9호Cytokeratin의 RT-PCR 및 면역조직화학적 분석을 이용한 구강편평세포암종의 임파절 미세전이 진단과 예후인자 효용성 평가명훈, 강진한, 김명진, 박성진, 이원덕, 이종호, 임구영대한구강악안면외과학회 · 대한구강악안면외과학회지2005 · 제31권 제2호

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