Department of Surgery, University of Trieste and Cattinara Hospital, Strada di Fiume, Trieste, Italy.
Saudi J Gastroenterol. 2011 Mar-Apr;17(2):149-51. doi: 10.4103/1319-3767.77249.
Cervical lymphadenopathy is usually related to the presence of an inflammatory disease or to a malignant localization. In the event of metastatic findings, the thyroid gland is the most likely primary site of a tumor. Metastatic lymphadenopathy represents a challenge when the primary tumor is unknown. A 64-year-old female with a supraclavicular palpable mass in the absence of underlying thyroid disease underwent ultrasonography of the neck, biopsy of the pathological lymph node, fluorodeoxyglucose-Positron Emission Tomography (FDG-PET) and colonoscopy until right colon cancer was diagnosed. FDG-PET is a fast and reliable tool to discover the primary site of cervical masses of unknown origin.
颈淋巴结病通常与炎症性疾病的存在或恶性定位有关。在转移性发现的情况下，甲状腺是肿瘤最有可能的原发部位。当原发肿瘤未知时，转移性淋巴结病是一个挑战。一名 64 岁女性，无甲状腺疾病基础，出现锁骨上可触及肿块，行颈部超声、病理淋巴结活检、氟脱氧葡萄糖正电子发射断层扫描（FDG-PET）和结肠镜检查，直至诊断为右结肠癌。FDG-PET 是发现不明来源的颈肿块原发灶的快速可靠工具。
