Preservação da Glândula Submandibular nos doentes com CPC da cavidade oral
DOI:
https://doi.org/10.34631/sporl.874Palavras-chave:
glândula submandibular, carcinoma pavimentocelular, cavidade oralResumo
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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Direitos de Autor (c) 2021 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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