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本文报告了1959—1975年连续收治的54例原发不明的颈部转移肿瘤。所有的病人最少随访2年或死亡,没有1例失随访。其中男性47例,女性7例,年龄最大者83岁,最小32发,平均56.5岁,以50—69岁为最多占63%,女性病人较年轻,60岁以下者6例。经系统检查后发现这些病人皆有耳鼻喉的炎症。61%的病人有上颈部淋巴结的侵犯,淋巴结的大小自1.5—13cm,平均7厘米。67%(36/54例)作了切检,鳞癌最常见(63%),其次为未分化癌(30%)。所有的病人皆行放疗,其中46%(25/54例)仅作了切检后放疗,10例行根治性颈部手术和放疗
This article reports 54 consecutive cases of primary neck metastasis from 1959-1975. All patients had at least 2 years of follow-up or died, and none had lost follow-up. Among them, there were 47 males and 7 females. The oldest was 83 years old, and the youngest was 32, with an average of 56.5 years old. The 50-69 age group accounted for up to 63%, and the female patients were younger and 6 were younger than 60 years old. After systematic examination, these patients were found to have ENT inflammation. Sixty-one percent of patients had lymph node involvement in the upper neck. The size of the lymph nodes was 1.5-13 cm, with an average of 7 cm. A total of 67% (36/54 patients) were examined. Squamous cell carcinoma was the most common (63%), followed by undifferentiated carcinoma (30%). All patients received radiotherapy, 46% (25/54) had only post-surgery radiotherapy, and 10 had radical neck surgery and radiotherapy.