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颈部非甲状腺肿块分为三类:(1)肿瘤性,(2)炎症性;(3)先天性和其他痰病。一、肿瘤性颈部肿块这是颈部肿块数目最多的一组,1/4是良性,大多来自唾液腺,其余为恶性,多为转移性。良性肿瘤:脂肪瘤、皮脂癌、纤维瘤、神经纤维瘤以及其他良性肿瘤不易确切诊断,最安全的办法是切除肿块,颈部畸胎瘤和甲状旁腺囊肿极少。甲状旁腺腺瘤只能根据其全身表现诊断。恶性肿瘤:原发性淋巴瘤的临床诊断较难,需要病理切片证明。恶性淋巴瘤的特点是单侧或双侧颈淋巴结肿大,表面光滑或分叶状,通常位于颈后三角的上方或下方。原发性唾液腺肿瘤。在作者590例中75.9%为良性,其余为恶性。良性唾液腺肿瘤为生长缓慢的无
Non-thyroid masses in the neck are classified into three categories: (1) neoplastic, (2) inflammatory; (3) congenital and other rickets. First, neoplastic neck mass This is the largest number of neck masses, 1/4 is benign, mostly from the salivary glands, the rest is malignant, mostly metastatic. Benign tumors: lipomas, sebaceous carcinomas, fibroids, neurofibromas, and other benign tumors are not easily diagnosed. The safest method is to remove the mass, and there is very little neck teratoma and parathyroid cysts. Parathyroid adenomas can only be diagnosed based on their systemic manifestations. Malignant Tumors: The clinical diagnosis of primary lymphomas is difficult and needs to be proved by pathological sections. Malignant lymphomas are characterized by unilateral or bilateral cervical lymphadenopathy with smooth or lobulated surfaces, usually located above or below the posterior triangle of the neck. Primary salivary gland tumors. Of the 590 authors, 75.9% were benign and the rest were malignant. Benign salivary gland tumors are slow growing