Research progress of occult lymph node metastasis in cN0 tongue squamous cell carcinoma
10.12354/j.issn.1000-8179.2025.20241129
- VernacularTitle:cN0舌鳞癌隐匿性淋巴结转移研究进展
- Author:
Wang SUBIN
1
;
Wu ZHENG
;
Han YAQIAN
;
Wang HUI
Author Information
1. 南华大学衡阳医学院,湖南省肿瘤医院研究生协作培养基地(湖南省 衡阳市 421001);中南大学湘雅医学院附属肿瘤医院,湖南省肿瘤医院放疗中心
- Publication Type:Journal Article
- Keywords:
tongue squamous cell carcinoma;
occult metastasis;
imaging diagnosis;
metastatic patterns;
surgical approaches
- From:
Chinese Journal of Clinical Oncology
2025;52(4):198-201
- CountryChina
- Language:Chinese
-
Abstract:
Tongue squamous cell carcinoma is the most frequent malignant tumor in the oral cavity.The incidence of occult metastasis in early-stage tongue squamous cell carcinoma ranges from 19.81%to 61.8%.The sensitivity,specificity,and accuracy of currently employed diagnostic techniques vary among different research centers.Cervical lymph nodes in tongue squamous cell carcinoma exhibit certain regu-larities,with metastasis primarily occurring in ipsilateral levels Ⅰ,Ⅱ,and Ⅲ,and occasional occurrence of skip metastasis.Occult metastasis to cervical lymph nodes in tongue squamous cell carcinoma is influenced by various factors.The treatment approach for the neck remains controversial,with options including selective neck dissection,observation,and sentinel lymph node biopsy.This review aims to elaborate on the incidence of occult lymph node metastasis in patients with tongue squamous cell carcinoma,the distribution patterns of metastatic lymph nodes,the value of various diagnostic techniques in detecting occult metastasis,risk factors for occult metastasis,and strategies for neck management.
