Preservação da Glândula Submandibular nos doentes com CPC da cavidade oral

Autores

DOI:

https://doi.org/10.34631/sporl.874

Palavras-chave:

glândula submandibular, carcinoma pavimentocelular, cavidade oral

Resumo

Objetivo: Avaliar a possibilidade de preservação da glândula submandibular (GSM) no tratamento cirúrgico com esvaziamento ganglionar cervical, dos doentes com carcinoma pavimento-celular da cavidade oral (CPCCO). 

Desenho do Estudo: Estudo retrospetivo. 

Material e Métodos: Revisão do processo clínico dos doentes com CPCCO submetidos a tratamento cirúrgico primário entre 2010 e 2016, comparando a sobrevida e recidiva tumoral entre os doentes em que houve preservação da GSM (n=26) e aqueles em que foi removida (n=51). 

Resultados: Não se verificou diferença estatisticamente significativa na sobrevida (p=0,121) ou na taxa de recidiva loco-regional (p=0,475) entre os grupos. 

Conclusões: A recidiva loco-regional e a sobrevida destes doentes não parecem ser condicionadas pela exérese da GSM. Estes dados sugerem poder ser viável a sua preservação, considerando não se tratar de um estadio tumoral avançado nem apresentar evidencia clínica de invasão, podendo assim evitar-se eventuais complicações decorrentes da sua exérese e o compromisso da qualidade de vida dos doentes. 

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Publicado

2021-03-07

Como Citar

Órfão, J., Campos, A., Almeida, G., Custódio, S., Hebe, A., Montalvão, P., & Magalhães, M. (2021). Preservação da Glândula Submandibular nos doentes com CPC da cavidade oral. Revista Portuguesa De Otorrinolaringologia E Cirurgia De Cabeça E Pescoço, 59(1), 47-54. https://doi.org/10.34631/sporl.874

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