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目的探讨浅表淋巴结转移的临床特点、活检和治疗。方法回顾分析2005年1月—2011年1月该院住院并在行活检的136例淋巴结肿大患者的临床资料并进行分析,对部分病人进行随访。采用SPSS13.0软件进行数据处理。率的比较采用χ2检验。结果转移癌发病多在40～60岁左右,136例中有126例明确了原发灶,行头颈部活检术占81.6%,组织活检阳性133例(97.8%),与细针穿刺阳性率91.2%(124/136)相比,阳性率差异有统计学意义(P<0.05)。结论浅表淋巴结转移癌临床分期多为中晚期,治疗采用个体化治疗和综合治疗。对颈部淋巴结转移癌应尽快采取组织切取活检明确诊断,治疗应根据原发灶和病理类型决定。
Objective To investigate the clinical features, biopsy and treatment of superficial lymph node metastasis. Methods The clinical data of 136 patients with swollen lymph nodes hospitalized and biopsy from January 2005 to January 2011 were retrospectively analyzed and analyzed. Some patients were followed up. Using SPSS13.0 software for data processing. Rate comparison using χ2 test. Results The incidence of metastatic carcinoma was mostly between 40 and 60 years old. Of 136 cases, 126 cases had definite primary tumor. The biopsy of the head and neck accounted for 81.6%, the biopsy was positive in 133 cases (97.8%), and the positive rate of fine needle biopsy was 91.2 % (124/136), the positive rate difference was statistically significant (P <0.05). Conclusions The clinical stage of superficial lymph node metastasis mostly in the late stage, the treatment of individualized treatment and comprehensive treatment. The cervical lymph node metastasis should be taken as soon as possible to confirm the diagnosis of tissue biopsy, the treatment should be based on the primary tumor and the pathological type of decision.