Oral Kavite Kanserlerinde Evreleme, Prognostik Faktörler ve Evreleme Sistemi Üzerine Değerlendirmeler

Yıl 2013, Cilt: 14 Sayı: 2, 109 - 117, 01.08.2013

Mehmet Haksever

Öz

Oral cavity cancers are the second most common among the head-neck malignancies following larynx cancers. Staging of cancer is very important during the planning of management. For oral cavity cancers, still the only system used is TNM staging system. Although this system guides us for treatment plan and prognosis, there are some shortages. Neck lymph node involvement has an negative effect on prognosis in head-neck cancer patients. In this article, some factors belonging to tumor affecting neck lymph node involvement and consequently on prognosis are discussed by the review of literature

Anahtar Kelimeler

Oral cavity tumors; TNM staging; prognosis

Oral Kavite Kanserlerinde Evreleme, Prognostik Faktörler ve Evreleme Sistemi Üzerine Değerlendirmeler

Öz

Oral kavite kanserleri baş boyun kanserleri arasında larinks kanserlerinin ardından ikinci sırada yer alır. Kanser tedavisi planlanırken hastalığın evresi çok önemlidir. Oral kavite kanserleri için halen kullanılan yegane evreleme sistemi TNM sistemidir. Bu sistem tedavi planlaması ve prognoz açısından yol gösterici olsa da bazı eksiklikleri mevcuttur. Özellikle evreleme yapılırken tümör diferansiasyonunun ve tümörün invazyon derinliğinin dikkate alınmamış olması eleştirilebilir bir noktadır. Baş boyun kanserlerinde boyundaki lenf nodu pozitifliğinin prognoz üzerine negatif etkisi tartışılmaz bir gerçektir. Bu makalede tümöre ait bazı faktörlerin boyun lenf nodlarına ve dolayısıyla da prognoza etkisi literatür bilgileri eşliğinde tartışılmaktadır

Anahtar Kelimeler

Oral kavite tümörleri; TNM evrelemesi; prognoz

Kaynakça

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