摘要
目的 探索颈部原发不明转移癌的最佳治疗方式。方法 回顾分析我院１９７６ 年２ 月～１９８８ 年１０ 月间１１４ 例颈部原发不明转移癌患者的临床资料。结果 中上颈低分化转移癌最好的治疗方式是放疗，转移性鳞癌则采用术前放疗加手术治疗，转移性腺癌中的乳头状腺癌治疗应采用甲状腺癌联合根治术，它们的５ 年生存率分别为４５．２％ 、５３ ．８ ％ 和６２．５％ 。锁骨上区转移癌以化疗为首选。随诊中有１１ ．２％ 颈部原发不明转移癌的患者发现原发灶。结论 对颈部原发不明转移癌的治疗方式，应根据淋巴结转移部位和病理类型来决定。
Objective To ascertain the optimal management of cervical nodal metasta of unknown primary sites. Methods The clinical data of 114 patients of cervical nodal metastases of unknown primary sites were retrospectively analyzed. Results For metatic masses of the upper and/or middle part of the neck, the optimal approach varied depnding on the histologic type. Poorly differentiated carcinoma was treated with radiotherapy, squamous cell carcinoma was treated with radiotherapy plus surgery, while papillary adenocarcinoma was treated by combined radical thyroidectomy. Their 5 year survival rate was 45.2%, 53.8% and 62.5%, respectively. For metastatic masses in the supraclavicular region, chemotherapy was the first treatment of choice in all patients. In only 12 of the 114 patients (11.2%) the primary sites were found in the follow up period. Conclusion For patients with cervical lymph node metastases from unknown primary sites, the management should be given according to the location of lymph node involved and histopathologic type of the tumor.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1999年第3期230-232,共3页
Chinese Journal of Oncology
关键词
颈部肿瘤
淋巴结转移癌
治疗
转归
Cervical nodal metastases/therapy Neoplasms, unknown primary/therapy
