摘要
目的阐明鳃裂癌的诊断需慎重。方法对4例误诊为鳃裂癌的颈部囊性转移性鳞癌进行回顾性分析。结果4例颈部囊性转移性鳞癌患者的原发灶均被发现,2例原发灶在杓会厌皱襞,1例在腭扁桃体,1例在头顶皮肤。原发灶发现的时间为自首次手术时至首次手术后41个月。结论4例中无一例为鳃裂癌,因此鳃裂癌的诊断需有严格的诊断标准。
Objective To raise the vigilance not to believe easily the diagnosis of a primary branchial cleft carcinoma. Methods Four cases of cystic metastatic squamous cell carcinoma in the neck misdiagnosed as branchiogenic carcinoma from 1993 to 2002 in our hospital were analyzed retrospectively. Results The primary sites of these 4 cases were later discovered, 2 in the aryepiglottic fold, 1 in faucial tonsil and 1 in the skin of the head, respectively. The discovery of the primary sites ranged from the day of initial surgery to 41 months. Conclusion None of the cases reviewed in this study was a branchiogenic carcinoma. Therefore, the diagnosis of a primary branchial cleft carcinoma requires the fulfillment of strict criteria both clinically and pathologically.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2004年第10期634-637,共4页
Chinese Journal of Oncology
关键词
转移性
囊性
鳃裂
鳞癌
颈部
原发灶
误诊
发现
Branchial cleft carcinoma/diagnosis
Carcinoma,squamous cell/diagnosis
