摘要：

目的： 观察分析1例多学科诊疗（multi-disciplinary team，MDT）协作下巨大股前外侧皮瓣修复颊部鳞状细胞癌复发案例。方法： 2020年8月，在口腔-头颈MDT协作下对1例晚期颊部鳞状细胞癌复发患者进行术前辅助化疗、手术治疗、术后辅助化疗及放疗，并对患者预后及修复重建效果进行随访观察。结果：患者术后伤口一期愈合，顺利完成术后辅助化疗及放疗，术后2年半复查无复发。与传统治疗相比，MDT大大缩短了治疗周期，提高了患者生存率及满意度。结论：对于复发、晚期等难治性口腔癌患者，可在MDT模式下制定“个性化”治疗方案，该方法值得临床推广。

关键词: 口腔癌, 多学科诊疗, 放化疗, 股前外侧皮瓣

Abstract:

Objective: To observe and analyze a case of recurrence of buccal squamous cell carcinoma repaired by giant anterolateral thigh flap under the cooperation of multi-disciplinary team (MDT).Methods: In August 2020, a patient with advanced buccal squamous cell carcinoma recurrence was treated with preoperative neoadjuvant chemotherapy, surgical treatment, postoperative adjuvant chemotherapy and radiotherapy under the cooperation of oral cavity head and neck MDT, and the prognosis and repair and reconstruction effect of the patient were followed up.Results: The wound of the patient healed at first stage after operation, and the adjuvant chemotherapy and radiotherapy were successfully completed. There was no recurrence after two and a half years of operation. Compared with traditional treatment, the treatment cycle is greatly saved, and the survival rate and satisfaction of patients have been improved.Conclusion: For patients with refractory oral cancer such as recurrence and advanced periods, a "personalized" treatment plan can be formulated in the MDT mode, which is worthy of clinical promotion.

Key words: carcinoma of oral cavity, multi-disciplinary team, radiation and chemotherapy, anterolateral thigh flap

中图分类号: 

• R782

• R739.8