口腔扁平上皮癌 Stage I, II 症例に対する予防的頸部郭清の検討

• 平島 惣一

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野 産業医科大学病院歯科口腔外科

• 吉岡 泉

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

• 土生 学

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

• 古田 功彦

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野 戸畑共立病院歯科口腔外科

• 國領 真也

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

• 岩永 賢二郎

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

• 兒玉 正明

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

• 福田 仁一

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

• 冨永 和宏

  九州歯科大学口腔顎顔面外科学講座・病態制御学分野

書誌事項

タイトル別名

• Evaluation of prophylactic neck dissection in Stage I and II oral squamous cell carcinoma
• 口腔扁平上皮癌Stage1,2症例に対する予防的頸部郭清の検討
• コウクウ ヘンペイ ジョウヒガン Stage1 2 ショウレイ ニ タイスル ヨボウテキ ケイブカクセイ ノ ケントウ

抄録

The control of neck lymph node metastasis in oral cancer is an important determinant of the prognosis. However, the effectiveness of prophylactic neck dissection has long been debated, without reaching a clear consensus.<br>Although our department performed prophylactic neck dissection before 1995, the use of this procedure has decreased markedly since then. Currently, we perform therapeutic neck dissection in patients with metastasis. Prophylactic neck dissection in the pure sense, excluding procedures involving reconstruction, has not been performedsince April 1997.<br>This study was designed to investigate the effectiveness of prophylactic neck dissection in Stage I and II oral squamous cell carcinoma. Ninety-one patients with primary Stage I and II disease treated in our department between 1992 and 2002 were retrospectively evaluated according to whether they underwent prophylactic neck dissection or not.<br>1. In Stage I, the 5-year cumulative survival rate was 88.9 % in the group that underwent prophylactic neck dissection and 91.4 % in the group that did not.<br>2. In Stage II, the 5-year cumulative survival rate was 93.3 % in the group that underwent prophylactic neck dissection and 86.4 % in the group that did not.<br>3. By closely following up patients and performing therapeutic neck dissection as soon as possible for neck lymph node metastasis, our results suggest that prophylactic neck dissection at initial surgery is not necessarily required in patients with stage I and II oral squamous cell carcinoma.

収録刊行物

• 日本口腔外科学会雑誌

  日本口腔外科学会雑誌 55 (12), 622-628, 2009

  社団法人 日本口腔外科学会

キーワード

• 口腔扁平上皮癌
• 予防的頸部郭清
• 臨床統計
• 累積生存率
• I, II 期

詳細情報

• CRID: 1390282681507436672
• NII論文ID: 10027091472
• NII書誌ID: AN00189163
• DOI: 10.5794/jjoms.55.622
• ISSN: 21861579
• ISSN: 00215163
• NDL書誌ID: 10536047
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I10536047
• Web Site: https://search.jamas.or.jp/link/ui/2010102921
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可