摘要
目的 :探讨锁骨上淋巴结 (SCL)已知原发部位转移癌的病理学特点。方法 :对 1980～ 1999年 (近 2 0年 ) 2 33例和 1961～ 1980年 (前 2 0年 ) 2 46例已知原发部位SCL转移癌患者的性别、年龄、转移癌原发部位和组织学类型等进行比较分析。结果 :近 2 0年来 ,SCL转移癌的患者趋于高龄、女性增多 ,转移性肺癌 (尤其是左侧SCL)增多 ,双侧SCL转移癌的原发部位皆肺居首位 ,转移性腺癌、鳞癌和未分化癌也都首先来自肺 ,左侧SCL转移性黏液腺癌 (包括印戒细胞癌 )主要来自胃肠道 (6/ 10例 ,特别是胃 ) ,右侧者全部来自肺 (8/ 8例 )等。结论 :在寻找SCL来源未明转移癌的原发部位时 ,任何一侧 (尤其是右侧 )SCL转移癌 (无论是腺癌、鳞癌或未分化癌 )
Purpose To investigate features of metastatic carcinoma(MC), with known origins in the supraclavicular lymph nodes (SCL). Methods A comparative analysis of SCL MC was made between the second 20 years(1980～1999,233 cases) and the first 20 years (1961～1980,246 cases) on sex, age, sites of the primary carcinoma(PC), and histological patterns of MCs. Results As compared with the first 20 years, the patients with SCL MC in the second 20 years showed there was an increase in the patients age, female cases and metastatic palmonary carcinoma. The first primary site in SCL MC of both sides was the lung. The metastatic adenocarcinoma, squamous carcinoma and undifferentiated carcinoma were mostly from lung. Metastatic mucoadenocarcinoma in the left SCL was mainly from gastrointestinal tract (6/10 cases,mainly from stomach) and the ones in the right SCL were all from the lung(8/8 cases). Conclusions The results provide a valuable diagnostic to look for the primary tumors of SCL MC with unknown origin, which should be considered the possibility of metastatic pulmonary carcinoma first, especially right SCL MC.
出处
《临床与实验病理学杂志》
CAS
CSCD
2001年第3期234-237,共4页
Chinese Journal of Clinical and Experimental Pathology
关键词
头颈部肿瘤
锁骨上淋巴结转移癌
病理学
SCL
head and neck neoplasms
lymphatic metastasis
carcinoma
supraclavicular lymph nodes
