Fernández-Nogueras Jiménez F J, Fernández-Pérez A, Rubí Uría J
Hospital Comarcal Santa Ana, Motril, Granada.
An Otorrinolaringol Ibero Am. 1993;20(4):369-81.
This study report 3 cases of nodal cystic metastasis in the neck. One of them was diagnosed as an epidermoid carcinoma of unknown origin and the other 2 were an epidermoid carcinoma and an mucoepidermoid carcinoma respectively, arising in the larynx. Treatment of these patients included removal of the cystic metastasis with or without neck dissection and irradiation. Cystic metastasis from squamous cell carcinoma have often been mistaken for primary squamous cell carcinoma of branchiogenic origin. The distinctive histological features of cystic metastasis reviewed after its correct identification, can lead to the discovery of an unsuspected primary lesion and result in specific treatment options.
本研究报告了3例颈部淋巴结囊性转移病例。其中1例被诊断为原发灶不明的表皮样癌,另外2例分别为起源于喉的表皮样癌和黏液表皮样癌。这些患者的治疗包括切除囊性转移灶,可伴或不伴颈部清扫术以及放疗。鳞状细胞癌的囊性转移常被误诊为鳃源性原发性鳞状细胞癌。在正确识别后对囊性转移灶独特组织学特征进行回顾,可发现未被怀疑的原发病变并得出具体的治疗方案。