颈部转移癌106例回顾分析

Study of 86 patients with metastatic cancer of the neck

目的:探讨颈部不同区域淋巴结转移癌和原发灶的关系。方法:对106例颈部转移癌进行回顾分析,并统计颈淋巴结转移癌的相关区域与原发灶。结果:91例原发灶明确转移癌,15例原发灶不明转移癌,原发灶明确者头颈部来源占65.09%(69/106),消化道来源占14.15%(15/106),其它部位来源占6.61%(7/106),106例中16例(15.09%)伴肺、纵隔、骨等处转移。结论:颈部淋巴结转移癌区域与原发灶部位存在一定规律,可以用于指导对原发灶的排查和治疗。

Objective： To anslysis the relation between the the different region of cervical metastatic cancer and the original focus of patients. Methods： There were 86 patients with metastatic cancer of the neck, adn these data were reviewed and counted the relevant region of metastatic cancer of the neck and original focus. Results： These data showed that there were 91 patients whose original focus were identified and 15 patients whose original focus were unidentified. The main primary lesions accounting for 65.09% （69/106） were in head and neck, 14.15%（15/106） in digestive system, and 6.61%（7/106） in the other region; Among all patients, 16 patients accompanied with metastatic cancer of other position, such as lung, mediastinum, bone,etc.. Conclusions： A certain law exists in cervical metastatic lymph ＂nodes and their original focus, that can be used for finding out and treating the original focus.