原发不明颈部转移癌的诊治  

Diagnosis and treatment of cervical lymph metastasis carcinoma from unknown primary tumor

作　　者：何美霖 易俊林 He Meilin;Yi Junlin(Department of Radiation Oncology,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院放疗科,北京100021

出　　处：《中华放射肿瘤学杂志》2022年第7期649-654,共6页Chinese Journal of Radiation Oncology

摘　　要：原发不明的颈部转移性癌(CCUP)占所有头颈部恶性肿瘤的3%~5%。随着PET-CT、分子病理学、内镜等辅助检查的发展和放疗技术的进步,这类疾病的诊治水平逐渐提高。手术和放射治疗是CCUP最主要的治疗方式。但因CCUP发病率较低、异质性大,目前仍缺少前瞻性临床试验数据,在治疗方面存在很多争议,本文就近年CCUP的诊疗进展做一综述。Cervical lymph metastasis carcinoma from unknown primary tumor(CCUP)accounts for 3%to 5%of all malignant tumors of head and neck.With the development of PET-CT,molecular pathology,endoscopy and other auxiliary examinations and the advancement of radiotherapy technology,the diagnostic and treatment levels of CCUP have been gradually improved.Surgery and radiotherapy are the most important treatment methods of CCUP.However,due to its low incidence and heterogeneity,prospective clinical trial data are still lacking.Hence,the optimal therapy of CCUP remains highly controversial.In this article,research progresses on the diagnosis and treatment of CCUP in recent years were reviewed.

关 键 词：原发不明颈部转移癌 肿瘤诊断 手术疗法 放射疗法 化学疗法 

分 类 号：R739.91[医药卫生—肿瘤]