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[颈部肿块的鉴别诊断与治疗。基于华沙米德齐莱斯基专科医院耳鼻喉科观察的一项研究]

[Differential diagnosis and treatment of neck masses. A study based on observation in Otolaryngology Department of Miedzyleski Specialistic Hospital in Warsaw].

作者信息

Rowicki Tomasz, Pietniczka-Załeska Mirosława, Dabrowska-Bień Justyna

机构信息

Oddział Otolaryngologii, Miedzyleski Szpital Specjalistyczny w Warszawie, ul. Bursztynowa 2.

出版信息

Otolaryngol Pol. 2009 Sep-Oct;63(5):414-8. doi: 10.1016/S0030-6657(09)70153-2.

Abstract

In otolaryngology practice we quite often encounter neck masses in all age group patients. The differential diagnosis is extensive and represents a variety of pathologic conditions of various origins, especially in relation to patient age. The authors present a retrospective analysis of patients with a neck mass treated in Otolaryngology Department of Miedzyleski Specialistic Hospital in Warsaw over the period of two years. Patients were divided into groups according to their age. Within each group the incidence of congenital, inflammatory and neoplastic disease was assessed. The most numerous was the group of adults older than 40 years of age with the highest incidence of malignant neoplasms. The location of metastatic lymph nodes in relation to primary site was described. Finally, methods of management for each tumour type were presented. Then we discuss a work-up of a neck mass with regard to literature data.

摘要

在耳鼻喉科临床实践中,我们经常会遇到各个年龄段患者的颈部肿块。鉴别诊断范围广泛,涵盖了各种起源的多种病理状况,尤其是与患者年龄相关的情况。作者对在华沙米德齐莱斯基专科医院耳鼻喉科接受治疗的颈部肿块患者进行了为期两年的回顾性分析。患者根据年龄分组。在每组中评估先天性、炎症性和肿瘤性疾病的发病率。人数最多的是40岁以上的成年人组,恶性肿瘤发病率最高。描述了转移性淋巴结相对于原发部位的位置。最后,介绍了每种肿瘤类型的治疗方法。然后我们结合文献数据讨论颈部肿块的检查方法。

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