Cantlon G E, Gluckman J L
Head Neck Surg. 1983 Jan-Feb;5(3):218-21. doi: 10.1002/hed.2890050306.
The classic radical neck dissection continues to dominate therapy for cervical metastasis. While the morbidity, complications, and sequelae of this procedure are well documented, sternoclavicular joint hypertrophy appears to have escaped attention. In order to establish the true incidence of this frequently noted but poorly documented condition, 50 randomly selected patients who had undergone radical neck dissection were evaluated retrospectively. Significant sternoclavicular hypertrophy was noted in 54% of the patients, but in only 4 (8%) was the condition severe enough to cause patient or physician concern. Surgical exploration was performed in 2 cases. The etiology of this condition is discussed, as are the radiologic findings, which may be suggestive of metastasis. The major clinical significance is an awareness of the condition and avoidance of over investigation and surgical exploration except in the most suspicious circumstances.
经典根治性颈清扫术仍然是治疗颈部转移瘤的主要方法。虽然该手术的发病率、并发症和后遗症已有充分记录，但胸锁关节肥大似乎未受到关注。为了确定这种常见但记录不充分情况的真实发生率，我们对50例随机选择的接受过根治性颈清扫术的患者进行了回顾性评估。54%的患者出现了明显的胸锁关节肥大，但只有4例（8%）病情严重到引起患者或医生的关注。对2例患者进行了手术探查。本文讨论了这种情况的病因以及可能提示转移的影像学表现。主要的临床意义在于认识到这种情况，避免过度检查和手术探查，除非在最可疑的情况下。
