頸部廓清術標本內淋巴結之數目

The Number of Lymph Nodes in Specimens of Radical Neck Dissection

黃清浩(Ching-How Huang) ； 林書馨(Hsu-Hsing Lin) ； 黃文哲(Tomas W. Huang)

《中華民國耳鼻喉科醫學會雜誌》 30卷2期 (1995/04) Pp. 124-128

https://doi.org/10.6286/1995.30.2.124

摘要

為了瞭解單側頸部內所有的淋巴結數目，我們追溯統計自1990年4月至1993年11月間，在孫逸仙醫院耳鼻喉科接受頸部廓清術之病人資料，共有20例病人在這段期間因為頭頸部上皮細胞癌接受頸部廓清術。我們統計單側頸部標本內所能找到的淋巴結數目，發現在20例頸部標本內平均可找到32.9顆淋巴結。手術之左右側、病人之性別及手術方式並不影響手術標本內之淋巴結數目，但術前若曾經接受過放射治療，則會使病理醫師較難找出標本內之淋巴結。所有14例未曾接受過放射治療的6例，則平均可找到22顆淋巴結。

關鍵字

根治性頸部廓清術 ； 淋巴結數目

並列摘要

In order to assess the number of lymph nodes dissected in a radical neck dissection, a retrospective study was conducted by reviewing the clinical and pathology records. From April 1990 to November 1994, 20 head and neck squamous cell carcinoma patients received neck dissection in the Department of Otolaryngology, Sun Yat-Sen Cancer Center, the number of lymph nodes identified and recorded in pathology reports were reviewed. An average of 32.9 lymph nodes were discovered in twenty patients. The site, patient sex and operative procedure did not affect the result. However, the average number of lymph nodes in 6 previously irradiated patients was 22, while that of 14 patients without prior irradiation was 37.6. The difference was probably related to severe fibrosis of soft tissue and lymph nodes after radiotherapy.

並列關鍵字

radical neck dissection ； lymph node number