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치은암의 하악골 침범에 관한 방사선학적 및 조직학적 연구

Other Titles
 Radiographic and histologic study of the mandibular invasion by gingival squamous cell carcinoma 
Authors
 문원규  ;  차인호  ;  홍순재  ;  백석기  ;  최성원  ;  이의웅  ;  이은하  ;  김진 
Citation
 Journal of Korean Association Maxillofacial Plastic Reconstructive Surgery (대한악안면성형재건외과학회지), Vol.21(1) : 41-47, 1999 
Journal Title
Journal of Korean Association Maxillofacial Plastic Reconstructive Surgery(대한악안면성형재건외과학회지)
ISSN
 1225-4207 
Issue Date
1999
Keywords
Gingival cancer ; mandibular invasion ; pattern of spread
Abstract
The route of bony invasion and spread pattern of tumor in the mandible are important in management of gingival cancer. Ten patients with gingival cancer involving mandibular body region were operated by composite resection. The radiographic and histopathologic features of the mandibular invasion and spread were analysed and compared. Our results showed that histopathologic extent of tumor invasion were greater than the radiographic prediction, especially in width of the tumor. And the pattern of bony invasion in the body area was mostly found in transmedullary spread rather than perineural spread. The vertical involvement in the mandibular body with tumor was evaluated. It indicated that if a oncologic surgeon was to ensure an adequate safety margin for extirpation of tumor, in most cases, the maintenance of the mandibular continuity is difficult. If the mandibular involvement by gingival cancer was identified radiographically and clinically, segmental mandibulectomy was required for the adequate safety margin, in consideration of the spread pattern in the body area.
Files in This Item:
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Cha, In Ho(차인호) ORCID logo https://orcid.org/0000-0001-8259-2190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172667
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