颈部淋巴结病变诊断与鉴别诊断

Diagnosis and differential diagnosis of cervical lymph node diseases

颈部淋巴结转移大部分来源于甲状腺癌和颈部不同区域的鳞癌,根据首站转移淋巴结区域可以大致推测原发病灶的来源。鳞癌和甲状腺癌转移性淋巴结有其各自特点。需要与这些转移性淋巴结鉴别的有淋巴结炎性改变、结核、淋巴瘤、Castleman及一些非淋巴结起源的软组织肿瘤。

Most of the cervical lymph node metastasis comes from thyroid cancer and squamous cell carcinoma of different regions of the neck.Origin of the primary cancer could be general speculated based on the first metastatic station site.The metastatic lymph nodes of squamous cell carcinoma and thyroid carcinoma have their own characteristics.These metastatic lymph nodes need to be differentiated from lymph node inflammatory changes,tuberculosis,lymphoma,Castleman's disease,and soft tissue tumors.