口腔原發不明鱗狀細胞癌之頸部轉移－病例報告

Squamous Cell Carcinoma Metastasized to Cervical Lymph Nodes from an Occult Oral Primary －A case Report

祁力行(Li-Hsing Chi) ； 林永和(Yun-Ho Li) ； 劉定國(Tine-Kuo Liu) ； 彭伯宇(Bou-Yue Pemg)

《中華民國口腔顎面外科學會雜誌》 13卷1期 (2002/03) Pp. 26-39

https://doi.org/10.7104/CJOMS.200203.0026

摘要

頸部腫塊可能源自感染性淋巴節重大、先天性異常、亦可能為良性腫瘤，甚或是惡性腫瘤；而惡性腫瘤必須優先排除。依臨床標準流程，含詳細的病史，謹的理學檢查，實驗室檢查，影像檢查，準確的細針穿刺抹片檢查，或切檢查，以期正確診斷出頸部轉移性癌。導引性的切片檢查，加上專業的病理醫師判讀，於尋找腫瘤原發處的過程中，有非常重要的幫助。本文章報導一名36歲男性患者，於頸部惡性腫瘤切除時，無法發現其原發部位，後來證明為軟?鱗狀細胞癌。文章中將介紹原發不明癌的診斷流程。

關鍵字

原發不明癌 ； 頸部轉移 ； 導引性切片檢查

並列摘要

Differential diagnosis of neck mass is a challenge to clicnicians and surgeons. It may be infective lymphadenopathy, congenital abnormality, benign tumor, or malignancy. The last one is the most serious and must be completely ruled out first. According to the practice guidelines, the cancer work-up includes detail history, physical examination, laboratory examinations, image study, fine needle aspiration cytology (FNA), guided biopsy, or open biopsy, to make a correct diagnosis. It is very important that the specimens are examined by experienced pathologist, when seeking the unknown primary. This report shows a case of metastatic neck tumor which was excised while no idea about the primary after thorough studies of the head and neck region plus whole body . After surgery, the primary was found to be a squamous cell carcinoma of the soft palate.

並列關鍵字

cancer of unknown primary ； CUP ； occult primary ； cervical metastasis ； guided biopsy