Mancuso A A
Int J Radiat Oncol Biol Phys. 1984 Mar;10(3):411-23. doi: 10.1016/0360-3016(84)90062-2.
Cervical metastatic disease is an issue of paramount importance in the diagnosis and management of head and neck malignancies. The frequency of cervical metastases from squamous cell carcinoma of the upper aerodigestive tract varies mainly with the site of the primary. In general, the presence of histologically confirmed metastases halves the five year survival for any given primary. With improvements in treatment and the resultant prolonged survival, the incidence of distant metastases from head and neck cancer has risen. The imaging of metastatic cervical neck nodes by CT has made a major impact on clinical assessment of nodal involvement. The treatment issues related to the presence and extent of cervical metastases will be discussed in light of the ability of CT scans to stage the neck.
颈部转移性疾病在头颈部恶性肿瘤的诊断和治疗中是一个至关重要的问题。上呼吸道消化道鳞状细胞癌颈部转移的发生率主要随原发部位而异。一般来说，经组织学证实存在转移会使任何给定原发肿瘤的五年生存率减半。随着治疗的改善以及随之而来的生存期延长，头颈部癌远处转移的发生率有所上升。CT对颈部转移性淋巴结的成像对淋巴结受累的临床评估产生了重大影响。将根据CT扫描对颈部进行分期的能力来讨论与颈部转移的存在和范围相关的治疗问题。
