OBJECTIVE To systematically analyze and summarize non-thyroge-nous masses of the neck(NTMN)by consideration of new areas,a large sample size and multiple-aspect analysis.METHODS Our research involved 3,125 NTMN cases....OBJECTIVE To systematically analyze and summarize non-thyroge-nous masses of the neck(NTMN)by consideration of new areas,a large sample size and multiple-aspect analysis.METHODS Our research involved 3,125 NTMN cases.We summarized the proportion of various NTMN and the distribution of the neck diseases based on the new international classification.The clinical traits such as sexual proportion and age,etc,were analyzed along with the unknown pri-mary cervical metastatic carcinomas(UPCMC),multiple nodular NTMN and tubercular lymphadenitis.RESULTS There were 68 different diseases identified.Among all the NTMN,the percentage of metastatic carcinomas was 63.3%.The neck masses with a focus above the clavicle comprised 62.3% of the metastatic carcinomas whose focuses were clear.Moreover,other results almost sup-ported the “rule of 80%”.There was an obvious distribution of traits at every sub level.For example,there were 23 different diseases in level III,of which the most common was lymphoma.UPCMC made up 12.3% of all metastatic carcinomas.Multiple NTMN were composed of lymphoma,metastatic car-cinoma and tubercular lymphadenitis,etc.For tubercular lymphadenitis pa-tients,the patients without tubercular toxic symptoms comprised 77.1% of all tubercular lymphadenitis patients.CONCLUSION NTMN are complex and various,with a definite distribu-tion in each neck level.Data relating the sex ratio,UPCMC,multiple nodular NTMN and tubercular lymphadenitis to the clinical traits of NTMN will provide support for clinical applications.展开更多
Objective: To systematically analyze and summarize non-thyrogenous masses of the neck (NTMN) by consid-eration of new areas, a large sample size and multiple-aspect analysis. Methods: Our research involved 3125 NTMN c...Objective: To systematically analyze and summarize non-thyrogenous masses of the neck (NTMN) by consid-eration of new areas, a large sample size and multiple-aspect analysis. Methods: Our research involved 3125 NTMN cases. We summarized the proportion of various NTMN and the distribution of the neck diseases based on the new international clas-sification. The clinical traits such as sexual proportion and age, etc, were analyzed along with the unknown primary cervical metastatic carcinomas (UPCMC), and built up a mathematical model based on the data above. Results: There were 68 dif-ferent diseases identified. Among all the NTMN, the percentage of metastatic carcinomas was 63.3%. The neck masses with a focus above the clavicle comprised 62.3% of the metastatic carcinomas whose focuses were clear. Moreover, other results almost supported the "rule of 80%". There was an obvious distribution of traits at every sub level. For example, there were 23 different diseases in level III, of which the most common was lymphoma. UPCMC made up 12.3% of all metastatic carci-nomas. The clinic cases could be analyzed by our model even to form a primary diagnosis which showed a high coincident rate with clinic diagnosis. Conclusion: NTMN are complex and various, with a definite distribution in each neck level. Data relating component character, sex ratio and UPCMC et al to the clinical traits of NTMN will provide vigorous support for clinical applications. The mathematical model could be an efficient method to synthetically analyze complicate data of NTMN.展开更多
目的:对颈部非甲状腺肿物(Non-Thyrogenous Masses of the Neck,NTMN)进行新分区、大样本和多角度的综合分析总结。方法:选取相关病例3125例,首先进行NTMN的构成比例总结;其次分析研究新近的国际分区中各疾病的分布情况;进而分析总结NTM...目的:对颈部非甲状腺肿物(Non-Thyrogenous Masses of the Neck,NTMN)进行新分区、大样本和多角度的综合分析总结。方法:选取相关病例3125例,首先进行NTMN的构成比例总结;其次分析研究新近的国际分区中各疾病的分布情况;进而分析总结NTMN疾病的性别、年龄等相关临床特征,对颈部隐源性转移癌(Unknown Primary Cervical Metastatic Carcinoma,UPCMC),多发结节型NTMN及结核性淋巴结炎等进行分析。结果:本研究共收集非甲状腺肿物疾病68类。转移性恶性肿瘤占恶性肿瘤性疾病的63.3%,原发灶在锁骨以上部位的转移癌占原发灶明确的转移癌的62.3%。在各分区中NTMN都有着较为明确的分布特征,如Ⅲ区23类疾病中,恶性淋巴瘤及转移癌最多见。UPCMC占转移癌的12.3%。多发结节型NTMN主要由恶性淋巴瘤、各类转移癌及结核性淋巴结炎等构成。结核性淋巴结炎中无结核中毒症状者占77.1%。结论:NTMN疾病构成复杂,表现多样,诊断较为困难,构成比例部分地支持了"80%规律",在各分区中均具有较为独特的疾病分布情况。而对于性别年龄比例、UPCMC、多发结节型NTMN、恶性淋巴瘤及结核性淋巴结炎等内容的总结均在不同程度上体现了本地区NTMN疾病发病的临床特点。本研究可以在多个层面为临床工作提供数据结论支持。展开更多
文摘OBJECTIVE To systematically analyze and summarize non-thyroge-nous masses of the neck(NTMN)by consideration of new areas,a large sample size and multiple-aspect analysis.METHODS Our research involved 3,125 NTMN cases.We summarized the proportion of various NTMN and the distribution of the neck diseases based on the new international classification.The clinical traits such as sexual proportion and age,etc,were analyzed along with the unknown pri-mary cervical metastatic carcinomas(UPCMC),multiple nodular NTMN and tubercular lymphadenitis.RESULTS There were 68 different diseases identified.Among all the NTMN,the percentage of metastatic carcinomas was 63.3%.The neck masses with a focus above the clavicle comprised 62.3% of the metastatic carcinomas whose focuses were clear.Moreover,other results almost sup-ported the “rule of 80%”.There was an obvious distribution of traits at every sub level.For example,there were 23 different diseases in level III,of which the most common was lymphoma.UPCMC made up 12.3% of all metastatic carcinomas.Multiple NTMN were composed of lymphoma,metastatic car-cinoma and tubercular lymphadenitis,etc.For tubercular lymphadenitis pa-tients,the patients without tubercular toxic symptoms comprised 77.1% of all tubercular lymphadenitis patients.CONCLUSION NTMN are complex and various,with a definite distribu-tion in each neck level.Data relating the sex ratio,UPCMC,multiple nodular NTMN and tubercular lymphadenitis to the clinical traits of NTMN will provide support for clinical applications.
文摘Objective: To systematically analyze and summarize non-thyrogenous masses of the neck (NTMN) by consid-eration of new areas, a large sample size and multiple-aspect analysis. Methods: Our research involved 3125 NTMN cases. We summarized the proportion of various NTMN and the distribution of the neck diseases based on the new international clas-sification. The clinical traits such as sexual proportion and age, etc, were analyzed along with the unknown primary cervical metastatic carcinomas (UPCMC), and built up a mathematical model based on the data above. Results: There were 68 dif-ferent diseases identified. Among all the NTMN, the percentage of metastatic carcinomas was 63.3%. The neck masses with a focus above the clavicle comprised 62.3% of the metastatic carcinomas whose focuses were clear. Moreover, other results almost supported the "rule of 80%". There was an obvious distribution of traits at every sub level. For example, there were 23 different diseases in level III, of which the most common was lymphoma. UPCMC made up 12.3% of all metastatic carci-nomas. The clinic cases could be analyzed by our model even to form a primary diagnosis which showed a high coincident rate with clinic diagnosis. Conclusion: NTMN are complex and various, with a definite distribution in each neck level. Data relating component character, sex ratio and UPCMC et al to the clinical traits of NTMN will provide vigorous support for clinical applications. The mathematical model could be an efficient method to synthetically analyze complicate data of NTMN.
文摘目的:对颈部非甲状腺肿物(Non-Thyrogenous Masses of the Neck,NTMN)进行新分区、大样本和多角度的综合分析总结。方法:选取相关病例3125例,首先进行NTMN的构成比例总结;其次分析研究新近的国际分区中各疾病的分布情况;进而分析总结NTMN疾病的性别、年龄等相关临床特征,对颈部隐源性转移癌(Unknown Primary Cervical Metastatic Carcinoma,UPCMC),多发结节型NTMN及结核性淋巴结炎等进行分析。结果:本研究共收集非甲状腺肿物疾病68类。转移性恶性肿瘤占恶性肿瘤性疾病的63.3%,原发灶在锁骨以上部位的转移癌占原发灶明确的转移癌的62.3%。在各分区中NTMN都有着较为明确的分布特征,如Ⅲ区23类疾病中,恶性淋巴瘤及转移癌最多见。UPCMC占转移癌的12.3%。多发结节型NTMN主要由恶性淋巴瘤、各类转移癌及结核性淋巴结炎等构成。结核性淋巴结炎中无结核中毒症状者占77.1%。结论:NTMN疾病构成复杂,表现多样,诊断较为困难,构成比例部分地支持了"80%规律",在各分区中均具有较为独特的疾病分布情况。而对于性别年龄比例、UPCMC、多发结节型NTMN、恶性淋巴瘤及结核性淋巴结炎等内容的总结均在不同程度上体现了本地区NTMN疾病发病的临床特点。本研究可以在多个层面为临床工作提供数据结论支持。
