颈部未知原发转移癌12例临床病理分析  

THE CLINICAL AND PATHOLOGICAL ANALYSIS OF 12 ORIGIN-UNKNOWN CERVICAL METASTATIC CANCERS

作　　者：徐慧高[1] 王隆香[1] 蒋巧生[2] 

机构地区：[1]江苏省连云港市第二人民医院口腔科,222023 [2]江苏省连云港市第二人民医院,222023

出　　处：《口腔颌面外科杂志》2002年第1期18-19,共2页Journal of Oral and Maxillofacial Surgery

摘　　要：目的 探讨颈部未知原发转移癌原发灶不明的颈部转移癌临床和病理学特点。方法 回顾性分析1985年1月～2000年9月收治的资料完整的12例患者临床和病理资料。结果 鳞状细胞癌5例,乳头状腺癌3例,腺癌、基底细胞癌和低分化癌各1例,1例病理诊断不明确,5例原发灶不明。结论 颈部转移癌以低分化鳞状细胞癌居多;原发灶不明的颈部转移癌应仔细查找原发灶,并给予综合治疗。ve To observe the clinical and pathological features of origin-unknown cervical metastatic cancers. Methods The clincial and pathological reference of 12 patients who were treated from 1985.1 to 2000.9 was analysed retropectivtly . Results 3 of them lay on the left neck and 9 of them lay on the right, the ratio of left to right is 1:3; 8 of them lay on the upper neck, which constituted 66.7% . 5 of them were squamous carcinomas, 3 of them were papillary adencarcinomas, one case's histological diagnose is not clear. Clssified according to the histopathology, 3 of them originated from thyroid glands, 2 of them originated from lungs, 5 of them were unknown. Conclusion The low-differentiated squamous carcinoma is the majority of cervicial metastatic cancers, and it often occurs on the upper neck; It is important that raising the diagnostic and therapeutic level of cervicial matastatic cancers for maxillofacial surgeons.

关 键 词：颈部未知原发转移癌 病理 分析 诊断 治疗 

分 类 号：R739.91[医药卫生—肿瘤]