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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 explore the best treatment for metastatic carcinoma of the neck with unknown origin. Methods The clinical data of 114 patients with primary cervical metastases from unknown sources in our hospital between February 1976 and October 1988 were retrospectively analyzed. Results The best treatment for poorly differentiated metastatic carcinoma of the upper and middle neck is radiotherapy. For metastatic squamous cell carcinoma, preoperative radiotherapy and surgery are used. Papillary adenocarcinoma in metastatic adenocarcinoma should be treated with thyroid cancer combined radical surgery. The annual survival rates were 45.2% and 53 respectively. 8 % and 62.5%. In the supraclavicular region, metastatic cancer is the first choice for chemotherapy. There are 11 in follow-up. Primary lesions were found in 2% of patients with metastatic cancer of unknown origin in the neck. Conclusions The treatment of metastatic carcinoma of the neck of unknown origin should be based on the site of lymph node metastasis and the type of pathology.