报告在583例原发性头颈部恶性肿瘤中,发现远处转移39例,转移率为6.7％。转移部位依次以肺、骨、肝及纵隔为多见。虽鼻咽癌的骨转移多于肺转移,但就头颈部恶性肿瘤的整体而言,仍以肺转移居首位,多器官或组织转移者近半数。并对远处转移与病理分类及TNM分级的关系、防治措施等进行讨论。 In 583 cases of primary head and neck malignancies, 39 cases of distant metastases were found, with a metastatic rate of 6.7%. The sites of metastasis were more common in lung, bone, liver and mediastinum. Although the metastasis of bone in nasopharyngeal carcinoma is more than that in lung metastasis, the overall metastasis of lung cancer in the head and neck still takes the first place in lung metastases, and nearly half of the metastases are found in multiple organs or tissues. We discussed the relationship between distant metastasis and pathological classification and TNM classification, prevention and treatment measures.