囊性颈部转移癌临床分析.pdfVIP

囊性颈部转移癌临床分析 殷玉林，徐震纲，许辉，魏明辉 （中国医学科学院北京协和医学院肿瘤医院头颈外科，北京　100021） 摘　要　目的　探讨以囊性肿块为首发症状的头颈恶 [ ] clinical characters and treatment methods for the head 方法 性肿瘤的临床特点和治疗方法。 　对 例以囊性肿 6 and neck malignancy which presented with cystic neck 块为首发症状，最终明确为头颈部恶性肿瘤颈淋巴转移 mass as primary symptom. METHODS　The clinical 结果 的患者临床资料进行分析。 　 例中有 例原发灶为 6 4 data were analyzed in 6 patients who presented with 甲状腺乳头状癌， 例原发灶为扁桃体癌， 例原发灶为 1 1 cystic neck mass as a primary symptom and finally 结论 鼻腔内翻性乳头状瘤恶变。 　以囊性肿块为首发症 diagnosed as lymph node metastases of the head 状的头颈部恶性肿瘤临床原发灶易被漏诊，应采用多 and neck malignancy. RESULTS　Of the 6 patients, 种诊断方法明确诊断，治疗应根据原发灶的病理类型 primary lesions were papillary carcinoma of the thyroid 决定。 in 4 cases. One patient’s primary lesion was tonsillar [关键词]　淋巴转移；颈；肿瘤原发灶 carcinoma and the another was cancerous change of inverted papillary epithelioma of nasal cavity. The clinical analysis of the cystic metastasis in the CONCLUSION　The primary lesions of the head and neck neck malignancy which presented with cystic neck YIN Yulin, XU Zhengang, XU Hui, WEI Minghui masses as primary symptom are often misdiagnosed (Department of Head and Neck, Cancer Hospital, and multiple diagnostic methods should be adopted to Chinese Academy of Medical Sciences and Peking identify the diagnosis finally. The treatment methods Union Medical College, Beijing, 100021, China） of the patients should be decided according to the Corresponding author: YIN Yunlin Email: yuyl@ihep. pathologic type of the primary lesions.