首发腋窝淋巴结转移瘤26例临床分析

 目的　分析首发腋窝淋巴结转移瘤的临床特征。方法　分析 2 6例以腋窝肿块为首发的恶性转移瘤患者的发病情况、肿块特征、诊断、治疗效果等。结果　以腋窝肿块为首发的恶性转移瘤患者中 (不包括淋巴瘤 ) ,最常见的分别是乳腺癌、黑色素瘤、肺癌 ,肿块大小不等、质硬、或与皮肤粘连 ,如果无广泛转移 ,采取切除原发瘤及转移瘤的以手术治疗为主的综合治疗。结论　腋窝淋巴结转移瘤以乳腺癌、黑色素瘤、肺癌多见 ,应采取综合治疗 ,预后较差

A clinical study of 26 cases of primary axillary lymph node metastasis

Objective To analyse the clinical features of primary axillary lymph node. Methods Such clinic items as the pathaologic pattern of original tumor ,the mass feature, diagnosis, therapeutic effects of 26 patients who suffered from primary axillary lymph node metastasis were studied.Results The original tumor according to its rate in turn is breast cancer, malignant melanoma, lung cancer, thyroid cancer, gastric cancer, colorectal cancer. If tumor has not spread extensively, combined therapy including operation should be performed.Conclusion The axillary lymph node metastasis tumors are mostly origined from breast cancer,malignant melanoma,lung cancer and other malignant tumor, which should be treated by combined therapy strategy and which has poor prognosis.