Lymph nodes in oral squamous cell carcinoma: a comprehensive anatomical perspective.

IF 4.2 3区 医学 Q2 ONCOLOGY Clinical & Experimental Metastasis Pub Date : 2024-10-08 DOI:10.1007/s10585-024-10317-y
Guang-Rui Wang, Nian-Nian Zhong, Lei-Ming Cao, Xuan-Hao Liu, Zi-Zhan Li, Yao Xiao, Kan Zhou, Yi-Fu Yu, Bing Liu, Lin-Lin Bu
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Abstract

Oral squamous cell carcinoma (OSCC) often exhibits a propensity for metastasis to lymph nodes (LNs), significantly influencing prognosis. Neck dissection (ND) is an important part in the treatment of OSCC. Variations in the preference for and pathways of lymph node metastasis (LNM) in different regions of the oral cavity have been observed. Currently, there is a lack of sufficient emphasis on the anatomical perspectives of LNM and ND. This review elucidates the lymphatic system of the maxillofacial regions from an anatomical standpoint, details the distribution of the sentinel LNs across different subsites, and summarizes the various classifications of the cervical LNs. Additionally, we elaborate on the methods used to study the lymphatic system, particularly imaging techniques. Furthermore, we investigate the pathways of cervical LNM and evaluate the efficacy of ND from an anatomical viewpoint. The overall objective of this review is to provide essential anatomical knowledge for managing LNs in OSCC, in the hope of providing patients with effective treatment modalities to enhance their quality of life.

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口腔鳞状细胞癌的淋巴结:全面解剖学视角。
口腔鳞状细胞癌(OSCC)通常有向淋巴结(LN)转移的倾向,严重影响预后。颈部切除术(ND)是治疗 OSCC 的重要部分。据观察,口腔不同区域淋巴结转移(LNM)的倾向和途径存在差异。目前,人们对 LNM 和 ND 的解剖学视角缺乏足够重视。这篇综述从解剖学的角度阐明了颌面部的淋巴系统,详细介绍了前哨淋巴结在不同亚部位的分布,并总结了颈淋巴结的各种分类。此外,我们还阐述了研究淋巴系统的方法,尤其是成像技术。此外,我们还研究了宫颈 LNM 的路径,并从解剖学角度评估了 ND 的疗效。本综述的总体目标是提供管理 OSCC LN 的基本解剖学知识,希望为患者提供有效的治疗方法,提高他们的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
5.00%
发文量
55
审稿时长
12 months
期刊介绍: The Journal''s scope encompasses all aspects of metastasis research, whether laboratory-based, experimental or clinical and therapeutic. It covers such areas as molecular biology, pharmacology, tumor biology, and clinical cancer treatment (with all its subdivisions of surgery, chemotherapy and radio-therapy as well as pathology and epidemiology) insofar as these disciplines are concerned with the Journal''s core subject of metastasis formation, prevention and treatment.
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