One Case of Cervical Lymph Node Metastasis was Reported

Yiwei Yuan, Siyu Yang, Huimin Wang, Wang Zhao, Yicheng Zhou
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Abstract

Objective: To report a case of cervical lymph node metastatic cancer in order to improve the understanding of this disease. Methods: To analyze the clinical features, clinical manifestations and risk factors of a case of cervical lymph node metastasis after operation of gingival squamous cell carcinoma. Results: Clinical features: The patient had a long clinical course and was diagnosed as "right cervical lymph node metastatic carcinoma", which was consistent with squamous cell carcinoma combined with morphology and history. Tissue: The tumor cells grew into nests and infiltrated, and the cell atypia was obvious, with keratinized beads and pathological mitosis. Immunohistochemistry: P63 (+), P40 (+), CK5/6 (+), P16 (-), Ki-67 hot spot index 40%. Conclusion: Cervical lymph is the aggregation area of the whole-body lymph; the whole-body lymph fluid can be drained through this. Pathology combined with immunohistochemical examination is the gold standard of diagnosis. The main treatment is surgical resection, combined with radiotherapy if necessary, and close follow-up after surgery.
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报告一例颈淋巴结转移病例
目的报告一例宫颈淋巴结转移癌病例,以加深对该疾病的了解。方法分析一例牙龈鳞癌术后宫颈淋巴结转移的临床特征、临床表现及危险因素。结果临床特征:患者临床病程较长,诊断为 "右颈部淋巴结转移癌",结合形态学和病史,符合鳞状细胞癌。组织:肿瘤细胞呈巢状生长、浸润,细胞不典型性明显,呈角化珠状,病理有丝分裂。免疫组化:P63(+)、P40(+)、CK5/6(+)、P16(-),Ki-67热点指数40%。结论颈部淋巴是全身淋巴的聚集区,全身淋巴液可经颈部淋巴排出。病理结合免疫组化检查是诊断的金标准。主要治疗方法是手术切除,必要时结合放疗,术后密切随访。
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