Author/Editor		Čizmarevič, Bogdan; Munda, Anton; Didanovič, Vojko; Grošeta, Tomislav; Becner, Drago; Cundrič, France; Berčič, Janko
Title		Področni zasevki pri tumorjih ustne votline, spodnjega dela žrela in grla
Translated title		Cervical lymp node metastasis from squamous cell carcinoma of the upper respiratory and digestive tracts
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 35, št. Suppl 6
Publication year		1996
Volume		str. 159-68
Language		slo
Abstract		The status of the cervical lymph nodes is the single most important prognostic factor in carcinoma of the upper aero-digestive tract. When cervical nodal metastases exist at presentation, cure rate dramaticaly decreases. Treatment of patients with upper aero-digestive tract carcinoma, treated between 1. 1. 1990 and 31. 8. 1994 at the Ear. Nose and Thoat Department of the Maribor General Hospital is analysed in the article. We found out that clinical assesment of the neck is not accurate in spite of ultrasound investigation and in a high percentage different than pathohistological assessment. Occult metastases are most common with carcinomas of the hypopharynx and supraglottis. Positive nodes are most common in the IInd and IIIrd neck regions. Occurance of metastases is also proportional to local extension of the tumor. With primary surgical therapy there are less local and regional recurrences and survival is longer.
Summary		Karcinomski zasevki v bezgavkah vratu so napomembnejši samostojni napovedni dejavniki pri karcinomih zgornjih prebavil in dihal. Prisotnost zasevkov bistveno zmanjša bolnikove možnosti za ozdravitev. V članku je analiziran potek zdravljenja bolnikov s karcinomi zgornjih dihal in prebavil, zdravljenih na Otorinolaringološkem oddelku Splošne bolnišnice Maribor v obdobju od 1. 1. 1990 do 31. 8. 1994. Ugotovljeno je, da se klinična Narzvrstitev tumorjev, kljub ultrazvočni preiksavi, v velikem odstotku razlikuje od patohistološke razvrstitve le-teh. Skriti zasevki so najpogostejši pri karcinomih spodnjega dela žrela in supraglotisa, zasevki pa v področjih II in III. V veliki meri je pojav zasevkov pogojen z velikostjo tumorja. Pri primarnem kirurškem zdravljenju je manj lokalnih in področnih ponovitev, daljše pa je tidi preživetje.
Descriptors		OROPHARYNGEAL NEOPLASMS HYPOPHARYNGEAL NEOPLASMS MOUTH NEOPLASMS LARYNGEAL NEOPLASMS LYMPHATIC METASTASIS NEOPLASM STAGING SURVIVAL RATE NECK