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[目的]了解84例颈部转移癌的发病情况、分布、病理类型及治疗疗效。[方法]原发灶不明者行颈部包块活检,协助诊断。原发肿瘤诊断明确者行颈部包块针吸细胞学检查确定是否为转移。根据原发肿瘤性质选用不同方案化疗,及6MV-X线放疗、I125放射粒子植入治疗。[结果]鳞癌58例,腺癌26例。位于上中颈部36例,下颈部、锁骨上29例,上下颈部都累及者19例。双侧颈部分布20例,单侧分布64例。放化疗有效率为85.7%,其中CR35.7%、PR50%、NC7.2%、PD7.2%。[结论]上中颈部转移癌原发灶以鼻咽、口腔多见,下颈部、锁骨上转移癌原发灶可见于肺、乳腺、胃、宫颈、卵巢等。放化疗可取得较好疗效。
[Objective] To understand the incidence, distribution, pathological types and therapeutic effects of 84 cases of metastatic cervical cancer. [Method] Unidentified primary tumor underwent cervical mass biopsy to help diagnose. The diagnosis of primary tumor line neck mass aspiration cytology to determine whether the transfer. According to the nature of the primary tumor selection of different regimens of chemotherapy, and 6MV-X ray radiotherapy, I125 radiation particle implantation. [Results] 58 cases of squamous cell carcinoma and 26 cases of adenocarcinoma. In 36 cases of upper and middle neck, lower neck, clavicle in 29 cases, upper and lower neck were involved in 19 cases. Bilateral neck distribution in 20 cases, 64 cases of unilateral distribution. Chemotherapy and chemotherapy efficiency was 85.7%, of which CR35.7%, PR50%, NC7.2%, PD7.2%. [Conclusion] The primary tumor of upper and middle neck metastasis is mainly in nasopharynx and oral cavity. The primary lesion of metastatic carcinoma of the lower neck and clavicle can be seen in the lung, breast, stomach, cervix and ovary. Chemotherapy can achieve better efficacy.