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妥善处理头颈部癌的颈淋巴结转移与治疗原发病灶具有同样重要价值。我们对32例(34例)耳鼻喉癌症施行颈淋巴结廓清术,其中喉癌23例,鼻及上颌窦癌7例,中耳及腮腺囊性腺癌1例,会厌及舌根癌1例。治疗性颈廓清术13例,切除标本经病理检查证实为转移癌者11例,另两例分别为结核和炎症。选择性颈廓清术20例,其标本经病理证实为转移癌2例。仅就有关问题讨论如下: (一)关于选择性颈淋巴结廓清术的应用对于选择性颈淋巴结廓清术之应用与否,
Properly handling neck and head lymph node metastases is as important as treating primary lesions. We performed cervical lymph node dissection on 32 cases (34 cases) of otolaryngologic cancer, including 23 cases of laryngeal carcinoma, 7 cases of nasal and maxillary sinus carcinoma, 1 case of middle ear and parotid cystic adenocarcinoma, 1 case of epiglottis and 1 case of tongue base cancer. Therapeutic neck dissection was performed in 13 cases. Excisional specimens were confirmed by pathological examination as metastatic cancer in 11 cases. The other two cases were tuberculosis and inflammation. Selective cervical dissection was performed in 20 cases. The specimens were confirmed by pathology as metastatic carcinoma in 2 cases. Only the relevant issues are discussed as follows: (A) Application of selective cervical lymph node dissection for the application of selective cervical lymph node dissection,