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本文分析已知原发部位的246例锁骨上淋巴结转移癌的病理组织学等因素与判断原发癌部位的关系。结果,(一)原发癌部位较广泛,包括肺、胃,食管、肝和乳腺;(二)双侧淋巴结转移均以肺癌居首位,而左侧淋巴结转移多来自胃,肝以及周身其他部位;(三)在男性,除要考虑转移性肺癌外,要多考虑来自胃、肝和食管的可能性,在女性,还应考虑乳腺和子宫;(四)50岁以下的患者,转移癌的部位常为肺和胃;(五)转移性鳞癌主要来自食管和肺;转移性腺癌中,除具有组织学特点的肝细胞性肝癌和甲状腺腺癌外,应多考虑肺、胃以及乳腺;(六) 转移性未分化癌,尤其是小细胞间变型,大多来自肺。
This article analyzes the pathological histology of 246 cases of supraclavicular lymph node metastasis known at the primary site and the relationship with the primary cancer site. Results: (1) The primary cancer sites were extensive, including lung, stomach, esophagus, liver, and breast; (b) Bilateral lymph node metastasis was preceded by lung cancer, while left-sided lymph node metastasis was mostly from stomach, liver, and other body parts. (3) In men, in addition to considering metastatic lung cancer, more consideration should be given to the possibility of stomach, liver and esophagus. In women, mammary glands and uterus should also be considered; (IV) Patients under 50 years of age, metastatic cancer The site is often the lungs and the stomach; (E) metastatic squamous cell carcinoma is mainly from the esophagus and lung; metastatic adenocarcinoma, in addition to histological features of hepatocellular carcinoma and thyroid adenocarcinoma, should consider the lung, stomach and breast (6) Metastatic undifferentiated carcinomas, especially small cell variants, mostly from the lungs.