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不明原发灶颈部转移癌的诊断 被引量：5

Diagnosis of Unknown Primary Cervic al Metastatic Carcinoma
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摘要 虽然理论上所有的颈部转移癌都有原发灶的存在,但临床上并非所有的颈部转移癌都可以找到原发灶,原发灶的检出与否直接影响患者的生存率和生活质量。近年来,随着诊断仪器的开发、诊断技术的提高和诊断方法的改进,越来越多的不明原发灶颈部转移癌(unknownprimarycervicalmetastaticcarcinoma,UPCMC)被检测出原发灶。本文重点对UPCMC的定义、传统和新近发展的诊断方法进行综述。 Theoretically,primary carcinomas affirmatively exist when a cervical metastasis is diag nosed.H owever,not all primary carcinoma ca n be detected under present examination practically.Whether the primaries are found affects the outcomes of long -term su rvival and quality of life of the patients.With the exploitation of new medical inst ruments ,development of diag nostic tech-niques,and improvement of diag nost ic methods ,more and more primaries i n the patients who were formerly diag nose d as cervical metastatic carcinoma c an be detected.This article aims mainly a t review of definition and tradition al and new developed diag nostic methods of unknown primary cervical metastatic ca rcinoma (UPCMC).
作者 彭汉伟 曾宗渊 郭朱明
机构地区 中山大学肿瘤防治中心头颈科
出处 《癌症》 SCIE CAS CSCD 北大核心 2003年第7期775-777,共3页 Chinese Journal of Cancer
关键词 颈部 转移癌 诊断 不明原发灶 Tumor metastasis Neck Unknown primary cancer Diag nosis
分类号 R739.91 [医药卫生—肿瘤]
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参考文献16

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同被引文献22

  • 1侯庆仪,唐安戊,张祥松,陈丹.^(18)F-FDG PET显像对原发灶不明颈部淋巴结转移癌的诊断价值[J].中华核医学杂志,2004,24(3):167-167. 被引量：12
  • 2Greven KM, Keyes JW Jr, Williams DW 3rd, et al. Occult primary tumors of the head and neck: lack of benefit from positron emission tomography imaging with 2-[F-18]fluoro-2- deoxy-D-glucose [J]. Cancer, 1999,86( 1 ) : 114-118.
  • 3Kresnik E, Mikosch P, Gallowitsch HJ, et al. Evaluation of head and neck cancer with tSF-FDG PET: a comparison with converntional methods [J]. Etar J Nucl Med, 2001,28(7): 816-821.
  • 4Regelink G, Brouwer J, de Bree R, et al. Detection of unknown primary tumors and distant metastases in patients with cervical metastases : value of FDG-PET versus conventional modalities [J]. Eur J Nucl Med Mol Imaging, 2002,29 ( 8 ) : 1024-1030.
  • 5Paul SA, Stoeckli S J, yon Schulthess GK, et al. FDG PET and PET/CT for the detection of the primary tumor in patients with cervical non-squamous cell carcinoma metastasis of an unknown primary [J]. Eur Arch Otorhinolaryngol, 2007,264 (2) : 189-195.
  • 6Rusthoven KE, Koshy M, Paulino AC. The role of fluorodeoxyglucose positron emission tomography in cervical lymph node metastases from an unknown primary tumor [J]. Cancer, 2004,101 ( 11 ) : 2641-2649.
  • 7Gutzeit A, Antoch G, Kuhl H, et al. Unknown primary tumors : detection with Dual-Modality PET/CT--nitial experience [J]. Radiology, 2005,234( 1 ) : 227-234.
  • 8Nieder C, Gregoire V, Ang KK. Cervical lymph node metastases from occult squamous cell carcinoma: Cut down a tree to get an apple[J]? IntJ Radiat Oncol Bios Phys, 2001, 50(3): 727-733
  • 9Grau C, Johansen LV, Jakobsen J, et al. Cervical lymph node metastases from unknown primary tumors. Results from a national survey by the Danish Society for Head and Neck Oncology[J].Radiother Oncol, 2000, 55(2): 121 ～ 129
  • 10Iganej S, Kagan R, Anderson P, et al. Metastatic squamous cell carcinoma of the neck from an unknown primary: Management options and patterns of relapse[J]. Head Neck, 2002, 24(3): 236 -246

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癌症
2003年 第7期

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