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題 名 | 口腔原發不明鱗狀細胞癌之頸部轉移--病例報告=Squamous Cell Carcinoma Metastasized to Cervical Lymph Nodes from an Occult Oral Primary--A Case Report |
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作 者 | 祁力行; 林永和; 劉定國; 彭伯宇; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 13:1 2002.03[民91.03] |
頁 次 | 頁26-39 |
分類號 | 416.212 |
關鍵詞 | 原發不明癌; 頸部轉移; 導引性切片檢查; Cancer of unknown primary; CUP or occult primary; Cervical metastasis; Guided biopsy; |
語 文 | 中文(Chinese) |
中文摘要 | 頸部腫塊可能源自感染性淋巴節腫大、先天性異常、亦可能為良性腫瘤,甚或是惡性腫瘤;而惡性腫瘤必須優先排除。依臨床標準流程,合詳細的病史,謹慎的理學檢查,實驗室檢查,影像檢查,準確的細針穿刺抹片檢查,或切片檢查,以期正確診斷出頸部轉移性癌。導引性的切片檢查,加上專業的病理醫師判讀,於尋找腫瘤原發處的過程中,有非常重要的幫助。本文章報導一名36歲男性患者,於頸部惡性腫瘤切除峙,無法發現其原發部位,後來證明為軟腭鱗狀細胞癌。文章中將介紹原發不明癌的診斷流程。 |
英文摘要 | Differential diagnosis of neck mass is a challenge to clinicians and surgeons. It may be infective lymphadenopathy. congenital abnormality, benign tumor, or malignancy. The last one is the most serious and must be completely ruled out first. According to the practice guidelines, the cancer work-up includes detail history, physical examination. laboratoy, examinations image study fine needle aspiration cytology (FNA), guided biopsy, or open biopsy to make a correct diagnosis. It is very important that the specimens are examined by experienced pathologist, when seeking the unknown primary. This report shows a case of metastatic neck tumor which was excised while no idea about the primary after thorough studies of the head and neck region plus whole body. After surgery, the primary was found to be a squamous cell carcinoma of the soft palate. |
本系統中英文摘要資訊取自各篇刊載內容。