浅表淋巴结转移癌病理活检136例临床特征分析  

Biopsy of Superficial with Clinical Features Analysis in 136 Cases of Iymph node Metastatic Carcinoma

作　　者：卡德尔江.木沙 王薇[2] 韩峰[3] 

机构地区：[1]新疆克州人民医院肿瘤外科,新疆阿图什845350 [2]新疆医科大学附属肿瘤医院乳腺头颈外科,新疆乌鲁木齐830011 [3]新疆医科大学附属肿瘤医院急诊综合医疗科,新疆乌鲁木齐830011

出　　处：《中外医疗》2012年第36期33-34,36,共3页China & Foreign Medical Treatment

摘　　要：目的探讨浅表淋巴结转移的临床特点、活检和治疗。方法回顾分析2005年1月—2011年1月该院住院并在行活检的136例淋巴结肿大患者的临床资料并进行分析,对部分病人进行随访。采用SPSS13.0软件进行数据处理。率的比较采用χ2检验。结果转移癌发病多在40～60岁左右,136例中有126例明确了原发灶,行头颈部活检术占81.6%,组织活检阳性133例(97.8%),与细针穿刺阳性率91.2%(124/136)相比,阳性率差异有统计学意义(P<0.05)。结论浅表淋巴结转移癌临床分期多为中晚期,治疗采用个体化治疗和综合治疗。对颈部淋巴结转移癌应尽快采取组织切取活检明确诊断,治疗应根据原发灶和病理类型决定。Objective To investigate the clinical features of superficial lymph node metastatic carcinoma with biopsy and treatment. Methods We reviewed 136 cases of lymph nodes metastatic carcinoma from January 2005 to January 2011 with biopsy and analysis the clinical data and the part of the patients were followed up.χ 2 test was used to analysis. Results The incidence of metastatic carcinoma is mostly around the age of 40 to 60 years old, 126 cases of 136 patients identified in primary tumor, biopsy for head and neck accounts for 81.6%.133 cases of were positive of all （97.8%）, and fine needle aspiration biopsy positive rate is 91.2%（124/136）.Compared to tissue biopsy and fine needle aspiration biopsy the positive rates were significantly different（P0.05）. Conclusion Superficial lymph node metastases, mostly in advanced clinical stage, treat with individual and comprehensive therapy.Cervical lymph node metastases should be taken as soon as possible by tissue biopsy diagnosis, the treatment should be based on the primary tumor and pathological type.

关 键 词：浅表淋巴结转移 治疗 原发灶 

分 类 号：R730.2[医药卫生—肿瘤]