問題詳情

27.關於鱗狀細胞癌(squamus cell carcinoma)的敘述,下列何者錯誤?
(A)疣狀癌(verrucous carcinoma)屬於較低惡性度的鱗狀細胞癌
(B)在唇部的鱗狀細胞癌比在其他口腔部位的預後較好
(C)就判斷預後而言,顯微鏡下的分類(grading)比臨床分期(staging)佳
(D)放射線及化學治療對於梭狀細胞癌(spindle cell carcinoma)治療效果通常不佳

參考答案

答案:C
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(B)Clinical staging guides the treatment of squamous cell car- cinoma. Most lip vermilion carcinomas are detected at an early stage and treated by surgical excision (typically a wedge resection) with excellent results. In contrast, advanced cases may be treated by definitive radiation therapy or combined chemoradiation therapy. At diagnosis, less than 10% of all lip vermilion carcinomas have metastasized; therefore, neck dissection seldom is indicated. However, a notable excep- tion is squamous cell carcinoma of the upper lip vermilion, which exhibits a high risk for regional lymph node metas-...