境界領域としての頭頸部悪性腫瘍における頸部腫瘤の臨床

概要

論文の詳細を見る
Five cases of neck mass were reported. All of the patients visited several departments, neck mass being considered as a borderline region in our clinical departments. These neck masses finally were revealed to be cervical lymph node metastases due to head and neck malignant tumor From the courses of these cases we recognized that head and neck cancer should not be neglected in the patients with neck mass and felt it necessary to emphasize this. In diagnosing the patient complaining chiefly of a neck mass, careful anamnesis, inspection and palpation are quite important for estimation of its pathogenesis as well as for detection of other diseases. When there is a little probability of the neck mass having metastasized from a cancer mass elsewhere in the body, evaluation of the condition of the ears, nose and throat are of first importance. If a primary tumor is not revealed by such an evaluation, a biopsy from the neck mass should finally be considered. In cases where the neck mass is located in the supraclavicular area, one should search for the primary tumor generally that is, in the stomach, esophagus, mediastinum, urogenital tract and so on. For neck masses resulting especially from cervical lymph node metastasis from a primary cancer, we reported a practical approach method for diagnosis and for the time of biopsy, and associated literature was reviewed.
札幌医科大学の論文
1981-06-01