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引起颈部肿瘤之疾患涉及面广,鉴别难。近10年内未见耳鼻喉科统计报告。为探讨与以前同类报告之差异,作者就熊本医大耳科门诊患者颈部肿瘤情况进行了统计学观察。门诊总数2521例,颈部肿瘤173例(6.9％)(其中154例为他院介绍)。与北村(1952～1956)、中村等(1966～1970)分别报告的1.61％,2.78％相比,就诊频度有所增高。转移性颈部肿瘤39例,占22.5％;甲状腺疾患38例,占22.0％。淋巴结炎12例,占6.9％,(北村报告为31.1％)系转诊患者表现为颈部肿瘤之故。头颈恶性肿瘤以口腔癌、口咽癌最易颈转移。故诊断时要想到,并应注意鼻咽、喉咽隐蔽部位的检查。良、恶性肿瘤中50岁以上恶性明显增加,男性多见。恶性肿瘤61例,占35.2％,与中村报告的782例恶性肿瘤中颈部肿瘤196例,约占1/4及外科佐佐木(1955～1972)报告恶性肿瘤129例占29.5％相比,稍有增多。可能与近10年耳鼻喉科医生积极治疗头颈恶性肿瘤有关。恶性肿瘤经临床详查几乎均能发现原发灶,否则应行淋巴结活检。此外甲状腺肿瘤现多由外科介绍,
The diseases that cause cervical tumors involve a wide range of diseases and are difficult to identify. No ENT report was reported within the past 10 years. In order to investigate the differences from previous reports of the same kind, the authors conducted statistical observations on cervical tumors in outpatients at Kumamoto Medical University. The total number of outpatients was 2521, and 173 neck tumors (6.9%) (of which 154 were introduced by his hospital). Compared with 1.61% and 2.78% reported by Beicun (1952 to 1956) and Nakamura (1966 to 1970), the frequency of visits increased. There were 39 cases of metastatic cervical tumors (22.5%) and 38 cases of thyroid disorders (22.0%). 12 cases of lymphadenitis, accounting for 6.9% (31.1% reported in Kitamura), were referring patients with neck tumors. Head and neck malignancies are most likely to metastasize to oral cancer or oropharyngeal cancer. Therefore, the diagnosis should be thought of, and attention should be paid to the inspection of the hidden parts of the nasopharyngeal and throat. In malignant and malignant tumors, the malignancy of over 50 years of age has increased significantly, and males are more common. There were 61 cases of malignant tumors, accounting for 35.2%. There were 196 neck tumors, accounting for about 1/4 of the 782 cases of malignant tumors reported by Nakamura, and there were only slightly more 129 cases of malignant tumors (29.5%) reported by Sasaki Sato (1955-1972). increase. It may be related to aggressive treatment of head and neck malignancies by otolaryngologists in the past 10 years. Malignant tumors can be found in almost all cases by clinical investigation, otherwise lymph node biopsy should be performed. In addition, many thyroid tumors are introduced by surgery.