报道5例罕见的源于鼻咽及扁桃体的颈部囊性淋巴结转移癌。它完全不同于一般淋巴结实体性转移癌。位于上颈部,多为单一的圆形或卵圆形无痛性、活动的囊性肿块,可抽吸出淡黄色液体,临床和病理误诊为鳃裂囊肿或鳃裂癌。囊性转移癌多为单房性,囊壁厚,外周为纤维性的壁,有残存淋巴成份,囊腔衬里可见到异形增生的鳞状上皮细胞,有别于因中央坏死液化而成的“假囊性”结构。结合有关文献,就临床病理学特征、病因、治疗等问题进行初步分析探讨。 Five cases of rare cystic lymph node metastases from the nasopharyngeal and tonsils were reported. It is completely different from the general lymph node metastatic cancer. Located on the upper neck, mostly as a single round or ovoid painless, active cystic mass, can be pumped out of a pale yellow liquid, clinical and pathological misdiagnosis as a cleft palate or a split-chamber cancer. Cystic metastatic carcinoma is mostly single-atrial, with thick cystic wall, peripheral fibrous wall, residual lymphoid components, and squamous epithelial cells with heterogeneous hyperplasia in the lining of the cyst. This is different from liquefaction caused by central necrosis. Fake cystic "structure. Based on relevant literature, preliminary analysis of clinical pathological features, etiology, and treatment issues will be conducted.