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不明原发灶颈部转移癌原发灶的检出与否直接影响患者的生存率和生活质量。目前颈部转移癌原发灶的检测以传统检查方法为主,近年来全内镜检查随机活检、氟脱氧葡萄糖正电子发射断层摄影术、激光介导荧光内镜和基因检测等技术提高了原发灶的检出率。根据淋巴结转移部位、病理类型、N分期等对不明原发灶颈部转移癌制订合理的治疗方案。现重点对不明原发灶颈部转移癌的传统和新近发展的诊治方法进行综述,以期对临床工作有所帮助。
Unknown primary tumor neck metastases primary cancer detection or not directly affect the survival rate and quality of life of patients. At present, the detection of primary metastatic carcinoma of the neck is mainly based on the traditional examination methods. In recent years, endoscopic biopsy, fluorodeoxyglucose positron emission tomography, laser-mediated fluorescence endoscopy and gene detection techniques have been improved The detection rate of hair loss. According to lymph node metastasis, pathological types, N staging of unknown primary tumor neck metastasis to develop a reasonable treatment. Now focus on unknown primary tumor neck metastases of the traditional and newly diagnosed diagnosis and treatment methods are reviewed, with a view to clinical work.