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KMID : 0371319740160070023
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Journal of the Korean Surgical Society
1974 Volume.16 No. 7 p.23 ~ p.28
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Neck Mass: Statistical analysis of 1, 084 cases
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Abstract
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Physical examination sometimes disclose a mass in the neck but the conclusive diagnosis is very difficult without histological examination. Pathologically proven 1, 084 cases of neck masses were analized for determination of nature- of-lesion. Pathologic specimens were obtained during the period 1963 to 1972 at the S.N.U.-hospital. Thyroid lesions and acute inflammations´ were excltided from this ,study. Following results: were observed:
1. Most common lesion is tuberculous lymphadenitis, which comprises 30.7%. Next common lesion is metastasis from other part of the body (26.8%). Nonspecific lymphadenitis (13.9%): primary malignancies(13.1%), benign neoplasm (8.6%), congenital lesion(5. 2%) and- parasitic lesion(1.7%) follow as order of frequency.
2. In male(614 pts), metastatic tumor is most frequent(32.5%) and tb. lymphadenitis is the next. In female(470) patient, the most frequent lesion is tb. lymphadenitis. (43.4%) 3. Sex distributions were as following:
congenital lesion, M F; 1. 2 : 1 The lymphadenitis 1 : 1.6
non-specific lymphadenitis 1. 7 : 1 benign tumor 1. 3 : 1
mal. lymphoma 1.8 : 1 metastatic tumor 2.2 : 1
Only tb. -lymphadenitis showed female prefonderance.
4. Among patients under 10 years of age, congenital lesion is the main lump in the neck, tb. lymphadenitis is more frequent between 11 to 40 years, while metastatic lesion is mostly observed in older age group (over 41 yrs.)
5. More than half of tbc. lymphadenitis and lymphoma involved both side of the neck. Other lesion involved only one side of the neck. Left side of the neck is more frequently involved by metastatic lesion which was usually originated from intraperitoneal organ, especially stomach.
6. Primary sites were known in 128 patient with metastatic lesion. They were 31 stomach cancers, 8 intraperitoneal malignancies, 32 lung cancers, 21 thyroid cancers, 11 breast cancers, 7 oropharyngeal cancers and 19 others. Stomach and lung are main primary site for cervical metastasis in man, while breast and thyroid are in woman.
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