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경부종물의 임상적 고찰
Published Online: May 31, 2020
Abstract
Neck masses comprise variable conditions which contain congenital mass, inflammatory mass, benign tumor and malignant tumor. According to the age, sex, and location, they show considerable differences in their clinical manifestations and diagnosis. The approach to the patient must be organized and systemic to confirm the diagnosis. Methods for exact investigation of the neck masses must be included careful physical examination, combined with the history, ultrasonography, CT scan, MRI, fine needle aspiration, and biopsy. Enlarged lymph nodes have to be differentiated between benign and malignant nature, and primary site of metastatic neck mass should be found for the proper treatment.
For this purpose, 210 cases of neck mass which were diagnosed at our hospital from January 1987 to June 1992 were analyzed retrospectively.
The following results were obtained ;
Of 210 cases, 141 cases(67%) were benign and 69 cases(33%) were malignant.
The most frequent benign mass was inflammatory (58%), and malignant mass was metastatic (62%).
The group was comprised of 87 males(41%) and 123 females(59%).
119 cases(84%) of benign mass were located at the anterior triangle. 16 cases(23%) of malignant mass were multiple, and 14 cases(20%) were bilateral.
Among the benign mass, size of 1〜3cm was 69 cases(49%). According to TNM system of AJCC, N2 was 28 cases(56%).
The most common primary site of metastatic neck mass was larynx(37%) and most common histopathologic finding was squamous cdl carcinoma(58%).
Surgical extirpation was performed 59 cases(42%) of benign neck mass. Tuberculous lymphadenitis treated with medication.
Of the malignant neck mass, 21 cases (30%) treated with surgery and 14 cases of them were performed irradiation.