颈部淋巴结肿大180例临床病理分析

目的：探讨颈部淋巴结肿大的病因,以指导临床诊断与治疗.方法：对2008年1月至2013年4月以颈部淋巴结肿大为首发症状并行病理活检的颈部淋巴结肿大患者180例临床病理资料进行回顾性分析.结果：180例患者中,恶性淋巴结肿大96例（53.33％）,其中主要为转移癌39例（40.62％）和非霍奇金淋巴瘤40例（41.67％）,不明原因转移癌8例（20.51％）;良性淋巴结肿大84例（46.67％）,其中主要为非特异性淋巴结炎32例（38.09％）和淋巴结结核34例（40.48％）.结论：颈部恶性淋巴结肿大以转移癌和非霍奇金淋巴瘤最为常见;良性淋巴结肿大以非特异性淋巴结炎与淋巴结结核较为常见.对不明原因颈部淋巴结肿大的病例,应及时行淋巴结活检以明确诊断.

The clinicopathologic analysis of cervical lymphadenectasis in 180 cases

Objective：To explore the causes of cervical lymphadenectasis for guiding clinical diagnosis and treatment. Methods：The biopsy of 180 patients with cervical lymphadenectasis for starting symptom were invetigated from Jan. 2008 to Apr. 2013, these pathological data were retrospectively analyzed. Results： Ninty-six cases of 180 patients were malignant lymphadenectasis （53.33%）, mainly for metastatic carcinoma 39 cases （ 40.62% ） and non-Hodgkin＇ s lymphoma 40 cases （41.67%）, the causes of 8 cases with lymph node metastasis carcinoma were unknown（ 20.51% ）. Eighty-four cases of 180 patients were benign lymph node enlargement （46.67 % ）, mainly for non-specific lymphadenitis （ 38.09 % ） and lymph node tuberculosis （ 40.48 % ）. Conclusions ： The metastatic carcinoma and non-Hodgkin＇s lymphoma are more common in cervical lymphadenectasis, non-specific lymphadenitis and lymph node tuberculosis are common in benign lymph node enlargement. The lymph node biopsy in patients with cervical lymphadenectasis of unknown causes should be implemented for making a definitive diagnosis in time.