目的:探讨颈部不同区域淋巴结转移癌和原发灶的关系。方法:对106例颈部转移癌进行回顾分析,并统计颈淋巴结转移癌的相关区域与原发灶。结果:91例原发灶明确转移癌,15例原发灶不明转移癌,原发灶明确者头颈部来源占65.09%(69/106),消化道来源占14.15%(15/106),其它部位来源占6.61%(7/106),106例中16例(15.09%)伴肺、纵隔、骨等处转移。结论:颈部淋巴结转移癌区域与原发灶部位存在一定规律,可以用于指导对原发灶的排查和治疗。 Objective: To investigate the relationship between lymph node metastases and primary tumor in different regions of the neck. Methods: 106 cases of neck metastases were retrospectively analyzed, and the related areas of primary cervical lymph node metastases and primary lesions were analyzed. Results: 91 cases of primary metastatic carcinoma and 15 cases of primary metastatic carcinoma were unknown. The source of head and neck was 65.09% (69/106) and the digestive tract was 14.15% (15/106) Other parts of the source accounted for 6.61% (7/106), 106 cases, 16 cases (15.09%) with lung, mediastinal, bone metastasis. Conclusion: There are some rules in the metastasis of cervical lymph nodes and the primary tumor site, which can be used to guide the investigation and treatment of the primary tumor.