The effect of active patient management, on life expectancy, in cancer of the tongue T2N0M0

S. D. Fokeev, S.Yu. Kapitulin, E. S. Kazantseva, Elina K Kapitulinа, Yu.G. Belokrylova, A. F. Lazarev
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Abstract

The result of the treatment of tongue cancer, which includes surgical treatment at the first stage followed by radiation therapy, is presented. Carrying out radical combined treatment of tongue cancer in the future leads to the appearance of a post-radiation ulcer in the area of surgery, followed by the development of a recurrence of tongue cancer in it and metastasis to regional lymph nodes or submandibular salivary glands. All of the above requires oncologists to actively monitor this group of patients. With the development of a post-radiation chronic long-term non-healing ulcer in the area of surgery, surgical rehabilitation should be carried out. Surgical removal of such an ulcer prevents the further development of cancer recurrence. Regular examination, neck ultrasound, cytological examination of suspicious areas of the tongue, regional lymph nodes allows timely detection of relapse and metastases and radical surgical treatment. Such an active tactic of managing this pathology affected the patient's life expectancy 17 years.
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积极管理患者对舌癌 T2N0M0 患者预期寿命的影响
本文介绍了舌癌的治疗结果,包括第一阶段的手术治疗和随后的放射治疗。今后进行舌癌根治性综合治疗会导致手术区域出现放射治疗后溃疡,继而出现舌癌复发以及区域淋巴结或颌下腺转移。所有这些都要求肿瘤学家积极监测这类患者。如果手术区域出现放疗后长期不愈合的慢性溃疡,应进行手术康复治疗。手术切除此类溃疡可防止癌症进一步复发。定期检查、颈部超声波检查、舌头可疑部位细胞学检查、区域淋巴结检查可以及时发现复发和转移,并进行根治性手术治疗。这种积极的病理管理策略使患者的预期寿命延长了 17 年。
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