目的为探讨鳃裂癌的诊断和治疗。方法分析了本院１９９２～１９９７年所收治的４例鳃裂癌临床资料。结果发病年龄为中老年人；好发部位在第二鳃弓，第一鳃弓也可发病；临床表现和颈淋巴转移癌极相似。均行手术治疗。结论认为鳃裂癌极少见，临床对怀疑为鳃裂癌的肿块，必须在排除其他部位的颈淋巴转移癌，并经病理学检查证实后方可确诊。治疗以肿块切除加同侧根治性颈淋巴清扫术为佳。 Objective To investigate the diagnosis and treatment of gill. Methods The clinical data of 4 cases of gill carcinoma treated in our hospital from 1992 to 1997 were analyzed. Results The age of onset was middle-aged and elderly. The predominant sites were in the second gill arch and the first gill arch was also diagnosed. The clinical manifestations were very similar to those of cervical lymph node metastases. All patients underwent surgical treatment. Conclusions: Gill cleavage is extremely rare. Clinically, lumps suspected to be branchial gland cancers must be cleared of cervical lymphatic metastases at other sites and confirmed by pathology. Treatment of lump resection plus radical radical neck dissection is better.