Clinicopathological analysis of local spread of carcinoma of the tongue.

Abstract:

BACKGROUND:The aims of the study are three-dimensional analysis of mode and distance of local spread of oral tongue carcinoma. METHODS:The glossectomy specimens were examined in the coronal plane in 3 mm thickness section. RESULTS:There were 50 glossectomy specimens. The maximum spread was 1.8 cm. Ninety-six percent of specimens had local spread within 1.2 cm. The distance of spread was not correlated with tumor size, including the diameter, depth, and volume. The incidence of local recurrence was 27% with positive histological margin. Perineural infiltration was the most important prognostic factor for local recurrence and survival. CONCLUSIONS:A minimum of 1.5-cm surgical resection margin is recommended. A smaller margin is not recommended as it has significant risk of local recurrence. A maximum of 2-cm surgical resection margin is recommended; larger margins will increase the surgical morbidity without a significant advantage of local control.

journal_name

Am J Surg

authors

Yuen PW,Lam KY,Chan AC,Wei WI,Lam LK

doi

10.1016/s0002-9610(97)00282-1

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

242-4

issue

3

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(97)00282-1

journal_volume

175

pub_type

杂志文章
  • A prospective randomized trial demonstrating valved implantable ports have fewer complications and lower overall cost than nonvalved implantable ports.

    abstract:BACKGROUND:The purpose of the current study was to evaluate whether a totally implanted valved subcutaneous port system would have fewer complications as compared to a standard nonvalved port. METHODS:Study subjects requiring port placement were randomized to receive a valved port (PASV; Boston Scientific, Natick, MA)...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.amjsurg.2004.08.041

    authors: Carlo JT,Lamont JP,McCarty TM,Livingston S,Kuhn JA

    更新日期:2004-12-01 00:00:00

  • Response to exogenous cholecystokinin of six human gastrointestinal cancers xenografted in nude mice.

    abstract::Gastrointestinal hormones regulate growth of cancers as well as normal tissues. We investigated whether long-term cholecystokinin (CCK) administration might affect growth or metabolism of human tumors xenografted in nude mice. In each experiment, approximately 20 nude mice bearing subcutaneous xenografts of the partic...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(89)90582-5

    authors: Hudd C,LaRegina MC,Devine JE,Palmer DC,Herbold DR,Beinfeld MC,Gelder FB,Johnson FE

    更新日期:1989-04-01 00:00:00

  • Does delayed gastric emptying contribute to gastroesophageal reflux disease?

    abstract::We studied 76 patients with symptoms of heartburn, regurgitation, or both and 38 asymptomatic control subjects by measuring the gastric emptying of technetium-99m-labeled oatmeal. In addition, we performed 24-hour esophageal pH monitoring and manometric studies of the esophagus on all study participants. Endoscopy was...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(89)90422-4

    authors: Schwizer W,Hinder RA,DeMeester TR

    更新日期:1989-01-01 00:00:00

  • Facility disparities in reporting comorbidities to the National Trauma Data Bank.

    abstract:BACKGROUND:The National Trauma Data Bank (NTDB) includes patient comorbidities. This study evaluates factors of trauma centers associated with higher rates of missing comorbidity data. METHODS:Proportions of missing comorbidity data from facilities in the NTDB from 2011 to 2014 were evaluated for associations with fac...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2018.01.031

    authors: Fransman R,Kent AJ,Haut ER,Reema Kar A,Sakran JV,Stevens K,Efron DT,Jones C

    更新日期:2018-09-01 00:00:00

  • Changing etiology of iliopsoas abscess.

    abstract::Over a 5-year period, iliopsoas abscesses were found in 11 patients. Although the most common underlying condition was Crohn's disease (3 of 11 patients), 5 abscesses resulted from hematogenous spread from a distant site. Each of these five patients was elderly, severely malnourished, or had an underlying chronic dise...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(92)90043-q

    authors: Walsh TR,Reilly JR,Hanley E,Webster M,Peitzman A,Steed DL

    更新日期:1992-04-01 00:00:00

  • Persistent sciatic artery. Clinical aspects and operative management.

    abstract::Abnormal persistent of the embryonic axial blood supply to the leg, the sciatic artery, is a rare but often clinically important condition. The sciatic artery may vary from a small collateral in the upper thigh to a very large vessel that is the leg's sole arterial blood supply. The abnormal artery is prone to aneurys...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90122-8

    authors: Williams LR,Flanigan DP,O'Connor RJ,Schuler JJ

    更新日期:1983-05-01 00:00:00

  • Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy.

    abstract:BACKGROUND:Previous research suggests an ostomy worsens health-related quality of life (HR-QOL), but comorbidities also can affect HR-QOL. METHODS:Eligible patients had abdominal operation with ostomy (cases) or similar procedure without ostomy (controls). Patients were recruited for this case-control study from 3 Vet...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2007.08.020

    authors: Jain S,McGory ML,Ko CY,Sverdlik A,Tomlinson JS,Wendel CS,Coons SJ,Rawl SM,Schmidt CM,Grant M,McCorkle R,Mohler MJ,Baldwin CM,Krouse RS

    更新日期:2007-12-01 00:00:00

  • Effects of age and severity of illness on outcome and length of stay in geriatric surgical patients.

    abstract::From April 1, 1990, to March 31, 1992, 8,899 patients who were 65 years of age and older underwent an anesthetic and surgical procedure in a 1,000-bed community hospital in Victoria, British Columbia, Canada. The hospital has been using a proprietary system called MedisGroups for assessing the severity of illness on a...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80438-6

    authors: Dunlop WE,Rosenblood L,Lawrason L,Birdsall L,Rusnak CH

    更新日期:1993-05-01 00:00:00

  • Breast cancer in young patients.

    abstract:BACKGROUND:Breast cancer in a young person is considered by many to be a rare and very aggressive disease. Theories regarding the aggressiveness of the disease are varied. This study was undertaken in an attempt to help formulate guidelines regarding screening for and treatment of breast cancer in the young patient. P...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80007-8

    authors: Sariego J,Zrada S,Byrd M,Matsumoto T

    更新日期:1995-09-01 00:00:00

  • Current trends and challenges in the postoperative medical management of Crohn's disease: A systematic review.

    abstract:BACKGROUND:Crohn's disease is an aggressive chronic inflammatory disorder, and despite medical advances no cure exists. There is a great risk of requiring an operative intervention, with evidence of recurrence developing in up to 80-90% of cases. Therefore, we sought to systematically review the current status in the p...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjsurg.2017.04.016

    authors: Schlussel AT,Cherng NB,Alavi K

    更新日期:2017-11-01 00:00:00

  • Failed fundoplications.

    abstract:BACKGROUND:Five percent of patients who undergo fundoplication will require reoperation. The cause of this high failure rate and the best management for these patients remains poorly understood. The aim of this study was to identify patterns and causes of failure of primary antireflux procedures. METHODS:Retrospective...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2004.08.062

    authors: Hatch KF,Daily MF,Christensen BJ,Glasgow RE

    更新日期:2004-12-01 00:00:00

  • Pancreatic somatostatinoma.

    abstract::The presence of cholelithiasis, steatorrhea, diabetes mellitus, and a pancreatic tumor initiated a diagnostic workup for somatostatinoma in a 43 year old black woman. The hypothesis of somatostatinoma was supported by a high level of plasma-like immunoreactivity and secretory granules resembling D-cell granules by ele...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90309-4

    authors: Kelly TR

    更新日期:1983-11-01 00:00:00

  • Prospective randomized study comparing three surgical techniques for the treatment of gastric outlet obstruction secondary to duodenal ulcer.

    abstract::A prospective randomized clinical trial was performed in order to evaluate the results of three surgical techniques for the treatment of gastric outlet obstruction secondary to duodenal ulcer. Ninety patients with clinical and laboratory evidence of gastric retention were enrolled. After laparotomy, patients underwent...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9610(05)80580-x

    authors: Csendes A,Maluenda F,Braghetto I,Schutte H,Burdiles P,Diaz JC

    更新日期:1993-07-01 00:00:00

  • A primary axillary approach for the radical mastectomy operation.

    abstract::A retrograde method for mastectomy that performs the axillary dissection first is described, and experience with eighty-six cases of infiltrating carcinomas of the breast treated in that manner is presented. The method has reduced the number of standard radical procedures by more than half, and a decrease in operative...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90182-3

    authors: Jascalevich ME

    更新日期:1976-06-01 00:00:00

  • Injection sclerotherapy of esophageal varices using ethanolamine oleate.

    abstract::Fifty-three patients with upper gastrointestinal bleeding and proven esophageal varices were treated by intravascular injection sclerotherapy of the varices using a mixture of ethanolamine oleate, bovine thrombin and cephalothin. An intraesophageal balloon was used to impede craniad flow during the injection. Except i...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(82)90191-x

    authors: Hedberg SE,Fowler DL,Ryan RL

    更新日期:1982-04-01 00:00:00

  • The intramandibular sliding myoosseous graft. A simple technique for immediate reconstruction of selected anterior mandibular defects.

    abstract::The intramandibular sliding myoosseous graft provides a new technique for reestablishment of mandibular continuity. It is well suited for immediate or remote reconstruction of midline or unilateral defects. Close attention to constructing smooth, confluent bone margins reduces the probability of mucosal fenestration. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(85)90156-4

    authors: Browne GA,McQuarrie DG

    更新日期:1985-10-01 00:00:00

  • Miconazole therapy for systemic candidiasis in a conjoined (Siamese) twin and a premature newborn.

    abstract::A 2.5 kg thoracopagus (Siamese) twin and a 0.73 kg premature newborn developed systemic candidiasis and were treated with intravenous miconazole. The conjoined twin was in a state of severe metabolic acidosis, respiratory distress, jaundice, anuria, abdominal distension, and shock. The 0.73 kg premature infant was als...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(79)90349-0

    authors: Sung JP,Rajani K,Chopra DR,Grendahl JG,Haws EB

    更新日期:1979-11-01 00:00:00

  • Prevention of postoperative thrombosis by aspirin.

    abstract::In a random double-blind trial monitored by 125I-fibrinogen leg scan, impedance plethysmography, and contrast phleobograms if impedance became abnormal, hydroxycholoroquine was shown to be no more effective than placebo for prevention of venous thrombosis after total hip replacement. Subsequently, the combination of h...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9610(77)90125-8

    authors: Hume M,Bierbaum B,Kuriakose TX,Surprenant J

    更新日期:1977-04-01 00:00:00

  • Pediatric gastroesophageal reflux: age-specific indications for operation.

    abstract::Pediatric gastroesophageal reflux is common and its complications may be serious. The diagnosis is being suspected and confirmed with increasing frequency in children because of heightened awareness of the symptoms peculiar to pediatric patients. Thirty-one children who underwent Nissen fundoplication for gastroesopha...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90114-2

    authors: Carson JA,Tunell WP,Smith EI

    更新日期:1980-12-01 00:00:00

  • Prognostic impact of intra-aortic balloon pump insertion before versus after cardiac surgical intervention in a veteran population.

    abstract:BACKGROUND:The relative prognostic impact of intra-aortic balloon pump (IABP) placement before versus after cardiac surgery is not well defined. METHODS:We reviewed data from all cardiac surgical patients who received perioperative IABP support at a veterans' hospital between April 1992 and April 2008. We compared out...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2009.07.011

    authors: Dhaliwal AS,Chu D,Huh J,Ghadir M,Sansgiry S,Atluri P,LeMaire SA,Coselli JS,Bakaeen FG

    更新日期:2009-11-01 00:00:00

  • Pathologic interactions between prosthetic aortic grafts and the gastrointestinal tract. Clinical problems and a new experimental approach.

    abstract::Twenty-one patients presented with pathologic interactions between the gastrointestinal tract and aortic grafts. Seventeen patients were managed by excision of the graft and axillobifemoral bypass. Six patients died. four deaths were due to disruption of the proximal aortic stump after initial therapy that appeared su...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90003-3

    authors: Buchbinder D,Leather R,Shah D,Karmody A

    更新日期:1980-08-01 00:00:00

  • Aortobrachiocephalic reconstruction.

    abstract::Aortobrachiocephalic reconstruction was studied in 26 patients. Nine had suffered a previous stroke, and seven had residual deficity. A previous carotid endarterectomy or carotid-to-subclavian bypass had been performed in eight patients. The ascending aorta was the proximal anastomotic site in all cases. Bypass grafti...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80364-7

    authors: Evans WE,Williams TE,Hayes JP

    更新日期:1988-08-01 00:00:00

  • Initial experiences and outcomes of telepresence in the management of trauma and emergency surgical patients.

    abstract:BACKGROUND:Teletrauma programs allow rural patients access to advanced trauma and emergency medical services that are often limited to urban areas. METHODS:A retrospective analysis of 59 teleconsults between 5 rural hospitals and a level I trauma center was performed. The objectives of this study were to report the in...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2009.08.011

    authors: Latifi R,Hadeed GJ,Rhee P,O'Keeffe T,Friese RS,Wynne JL,Ziemba ML,Judkins D

    更新日期:2009-12-01 00:00:00

  • Molecular mechanisms of tumor formation.

    abstract::DNA is the fundamental guide for the cell's processes. The alterations in DNA that can lead to abnormal or absent proteins and the role of chromosomal alterations in changing the function of the DNA are reviewed. The role of viruses in derailing a cell's normal functions, the major mechanisms of oncogene action, and t...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9610(05)80911-0

    authors: Samara G,Hurwitz M,Sawicki M,Passaro E Jr

    更新日期:1992-10-01 00:00:00

  • Posterior triangle metastases of squamous cell carcinoma of the upper aerodigestive tract.

    abstract::The trend toward function-conserving surgery in the treatment of squamous cell carcinoma of the head and neck has led to a progression from radical neck dissection to modified neck dissection and selective neck dissection has growing support. These surgical modifications have resulted from an effort to spare structure...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80340-x

    authors: Davidson BJ,Kulkarny V,Delacure MD,Shah JP

    更新日期:1993-10-01 00:00:00

  • Verrucous carcinoma, then and now.

    abstract::The salient clinical and pathological features of verrucous carcinoma, as first described by Ackerman in 1948, are reviewed. Two case reports are presented. The first concerns a personal experience with a patient who had five surgical procedures for multifocal oral verrucous carcinoma and remains alive and well 28 yea...

    journal_title:American journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1016/s0002-9610(98)00232-3

    authors: Spiro RH

    更新日期:1998-11-01 00:00:00

  • Presidential address: imagination trumps knowledge.

    abstract::Multiple organ failure (MOF) emerged 30 years ago and became our research focus. Over the years, we have proposed a series of cartoons that rallied multidisciplinary translational research teams around common themes to generate "win-win" hypotheses that when tested (right or wrong) have advanced our understanding of M...

    journal_title:American journal of surgery

    pub_type:

    doi:10.1016/j.amjsurg.2010.05.009

    authors: Moore FA

    更新日期:2010-12-01 00:00:00

  • The microbiology of necrotizing soft tissue infections.

    abstract:OBJECTIVE:A large number of necrotizing soft tissue infections (NSTI) treated at a single institution over an 8-year period were analyzed with respect to microbial pathogens recovered, treatment administered, and outcome. Based on this analysis, optimal empiric antibiotic coverage is proposed. METHODS:A retrospective ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(00)00360-3

    authors: Elliott D,Kufera JA,Myers RA

    更新日期:2000-05-01 00:00:00

  • Implementation of sentinel lymph node biopsy for breast cancer by surgeons in the Department of Defense.

    abstract:BACKGROUND:Sentinel lymph node biopsy (SLNB) for the evaluation of women with invasive breast cancer is rapidly gaining acceptance. The purpose of this study was to assess how surgeons in the Department of Defense (DOD) are incorporating SLNB into practice. METHODS:Surgeons at all DOD hospitals were telephonically sur...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(02)00920-0

    authors: Davis KG,Schriver JP,Waddell B

    更新日期:2002-08-01 00:00:00

  • Algorithm for assessing renal dysfunction risk in critically ill trauma patients receiving aminoglycosides.

    abstract::A recent retrospective study proposed that the following screening criteria be used in identifying critically ill trauma patients receiving aminoglycosides who are at significant risk to develop renal dysfunction: (1) post-admission shock, (2) minimum serum concentration more than 2 mg/L, and (3) diagnosis of septicem...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9610(05)81007-4

    authors: Boucher BA,Coffey BC,Kuhl DA,Tolley EA,Fabian TC

    更新日期:1990-11-01 00:00:00