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本文对我院自1983年至1989年收治的原发灶未明的颈结转癌31例进行临床分析。男18例。女13例;平均年龄47.5岁,颈结位于颈单侧26例,双侧5例;位于颈上部18例次、颈中部6例次、颈下部8例次、锁骨上窝4例次(右3、左1)。在转移癌位于颈上、中部的18例中,8例作咽轴部放射治疗,其3和5年生存率明显优于不作咽轴照射者,包括放疗在内和综合治疗比不加放疗的结果好。有4例疗后追踪找到了原发灶,其中2例为腮腺癌,2例分别为肺鳞、腺癌。转移灶位于锁骨上窝的4例预后最差。
In this paper, clinical analysis of 31 cases of primary neck cancer transferred from primary tumors admitted in our hospital from 1983 to 1989 were performed. 18 males. 13 females; mean age 47.5 years, cervical junction in 26 cases on one side of the neck, 5 cases on both sides; 18 cases in the upper part of the neck, 6 cases in the middle of the neck, 8 cases in the lower part of the neck, 4 cases in the supraclavicular fossa (right 3, left 1). Among the 18 cases with metastases located in the upper and middle necks, 8 cases were treated with pharyngeal axis radiotherapy. The 3- and 5-year survival rates were significantly better than those without pharyngeal axis irradiation, including radiotherapy and comprehensive treatment compared with no radiotherapy. The result is good. There were 4 cases of primary tumors found after treatment, including 2 cases of parotid gland cancer and 2 cases of lung squamous cell carcinoma and adenocarcinoma. The 4 cases with metastases located in the supraclavicular fossa had the worst prognosis.