鼻咽癌颈淋巴结转移——75例鼻咽癌原发灶和颈淋巴结转移灶的病理分析

• 作 者: 钱仲棐 易曙光
• 机 构: 湖南医学院病理解剖学教研组,湖南医学院病理解剖学教研组
• 出 处: 湖南医学院学报
• 发表日期: 1982年03期
• 关键词: 颈淋巴结转移 癌原发灶 原发癌 淋巴道转移 嗜银纤维 鼻咽部活检 癌巢 颈上深淋巴结 低分化鳞癌 泡状核

鼻咽癌发生于左或右侧壁者,颈淋巴结转移常见于同侧,次为双侧。咽后壁者,可转移至左或右颈淋巴结,也可双侧有转移。转移癌的组织学类型与原发癌基本相同。原发癌间质胶元纤维和嗜银纤维少似有利于发生转移。鼻咽粘膜固有层的毛细淋巴管靠近粘膜上皮,对早期淋巴道转移可能有一定意义。

Nasopharyngeal carcinoma occurs in the left or right side of the wall, lymph node metastasis is common in the same side, followed by bilateral. In the posterior pharyngeal wall, lymph nodes can be transferred to the left or right cervical lymph nodes, and can also be transferred bilaterally. The histological type of metastatic cancer is basically the same as that of primary cancer. The primary cancerous intercellular plastic fibers and argyrophilic fibers appear to be less likely to metastasize. The lymphatic vessels of the nasopharyngeal lamina propria are close to the mucosal epithelium and may have a certain significance for the early lymphatic metastasis.