摘要
本文对我院自1983年至1989年收治的原发灶未明的颈结转癌31例进行临床分析。男18例。女13例;平均年龄47.5岁,颈结位于颈单侧26例,双侧5例;位于颈上部18例次、颈中部6例次、颈下部8例次、锁骨上窝4例次(右3、左1)。在转移癌位于颈上、中部的18例中,8例作咽轴部放射治疗,其3和5年生存率明显优于不作咽轴照射者,包括放疗在内和综合治疗比不加放疗的结果好。有4例疗后追踪找到了原发灶,其中2例为腮腺癌,2例分别为肺鳞、腺癌。转移灶位于锁骨上窝的4例预后最差。
31 cases with neck node metas-tatic carcinoma from an unknown origin were admitted to our hospital between May 1983 and May 1989. There were 18 male and 13 female, aged 2m-75y, mean 47.5y. Unilateral neck node met-astases were found in 26 cases, and bilateral in 5, The frequency of involvement of sites:18 case-times in upper neck, 6 in middle neck, 8 in lower neck, and supraclavicular fossa (3 at right and 1 at left). Among 18 cases with upper and/or middle neck metastases, 8 cases in whom a pharyngeal origin was suspected were treated with upper pharyngeal axis irradiation togeth-er. The 3-and 5-year survival rates of them are superior to those without such, a treatment. Combined treatment including irradiation provided a better result than those without irradiation.4 primary cancers were found by follow-up, 2 were parotidean adenocarc i nomas and 2 were right lung cancers which demonstrated supraclav icular adenopathy. The outcome of all the 4 patients with supraclav icular node metastases was
very poor.
出处
《海南医学》
CAS
1992年第2期36-38,共3页
Hainan Medical Journal
关键词
颈结转移癌
诊断
Neck node metastatic,Unknown origin
