囊性颈部转移癌临床分析

The clinical analysis of the cystic metastasis in the neck

目的探讨以囊性肿块为首发症状的头颈恶性肿瘤的临床特点和治疗方法。方法对6例以囊性肿块为首发症状,最终明确为头颈部恶性肿瘤颈淋巴转移的患者临床资料进行分析。结果6例中有4例原发灶为甲状腺乳头状癌,1例原发灶为扁桃体癌,1例原发灶为鼻腔内翻性乳头状瘤恶变。结论以囊性肿块为首发症状的头颈部恶性肿瘤临床原发灶易被漏诊,应采用多种诊断方法明确诊断,治疗应根据原发灶的病理类型决定。

To investigate the clinical characters and treatment methods for the head and neck malignancy which presented with cystic neck mass as primary symptom. METHODS The clinical data were analyzed in 6 patients who presented with cystic neck mass as a primary symptom and finally diagnosed as lymph node metastases of the head and neck malignancy. RESULTS Of the 6 patients, primary lesions were papillary carcinoma of the thyroid in 4 cases. One patient＇s primary lesion was tonsillar carcinoma and the another was cancerous change of inverted papillary epithelioma of nasal cavity. CONCLUSION The primary lesions of the head and neck malignancy which presented with cystic neck masses as primary symptom are often misdiagnosed and multiple diagnostic methods should be adopted to identify the diagnosis finally. The treatment methods of the patients should be decided according to the pathologic type of the primary lesions.