原发部位不明的转移癌12例分析  

Analysis for 12 Patients with Primarily Acataleptic Metastatic Carcinoma

作　　者：王浩[1] 李自康[1] 贾勋超 

机构地区：[1]四川省雅安市人民医院肿瘤科,625000

出　　处：《中国全科医学》2007年第23期2006-2007,共2页Chinese General Practice

摘　　要：目的了解原发部位不明的转移癌的病理特点和预后。方法对我院收治的仅有淋巴结转移的原发部位不明转移癌患者12例的诊治情况进行回顾性分析。结果12例患者手术切除包块病理学检查:腺癌6例,未分化癌3例,鳞癌3例。术后随访6例患者生存5年,5年生存率为50%。结论原发部位不明的转移癌是一种不多见的癌症。原发癌被发现的机会并不高。原发部位不明的转移癌患者的生存期是比较长的,经过治疗后有相当数目的长期生存者。在临床上只要符合原发部位不明的转移癌的诊断条件,应根据患者的情况尽早安排治疗。Objective To analysis clinical, pathological characteristics and prognosis of primarily acataleptic meta- static carcinoma. Methods The data of 12 patients had only lymph node of metastasis and whose primary tumor was not clear treated in our hospital were retrospectively analyzed. Results These were 12 patients from 38 to 72 years with average age of 50.5 years, median age of 52.3 years, male were 8, female were 4. These were 8 patients that had tumor in neck, 4 patients had tumor in inguen. All patients cut tumor. Pathological examination results： adenocareinoma was found in 6 patients, undif- ferentiated carcinoma in 3 patients, squamous cell carcinoma in 3 patients. Conclusion Primarily acataleptic metastatic carci- noma is a rare cancer. Primary carcinoma is not easily to be founded. Survival time of patients with metastasis whose primary tumor was not clear is generally longer, the most of them after treated could lived for a long time by documents, if even their death was not relation to cancer, which indicate factors of patients （ immune and hormone） may be correlation with temporary and perpetual degeneration of primary tumor.

关 键 词：癌 病理学 临床 预后 

分 类 号：R73[医药卫生—肿瘤]