During the past 3 years and 7 months from Jan. 1974 to July 1977, 240 cases of surg￢ical diseases on neck confirmed by pathological examination and operative findings were treated at CNU Hospital.
The results were as follows;
1. The most common surgical disease on neck was inflammatory origin, which comprised 39.2%, most of them were tuberculous lymphadenitis (25.8%).
2. The surgical disease was distributed at all age group and female predominated over males by-1.4 : 1.
3. The most frequent chief complaints were mass(100%), palpitation, headache, weak￢ness in the thyroid disease, and mass(93.7%), pain and tenderness(21.3%), mass and discharge in the non-thyroid disease. Bleeding was frequently noticed in the traumatic lesion.
4. Solitary nodules were 38 cases(89%) and 20 cases (42.6%) were located in Lt. lobe in thyroid lesions. Site distribution and number in the non-thyroid neck mass were as follows, unilateral distribution were 146 cases (80.7%) and 76 cases (41.9%) were located in Rt. side on neck and 138 cases(76.2%) were soiltary in number.
5. The size of mass of majority was medium size in the thyroid mass and small size in the non-thyroid mass.
6. The most frequent duration was 1^´2 years(34966) in the thyroid disease and below 3 months in the non-thyroid disease (mostly within few hours in traumatic lesions).
7. Primary site were known in 18 cases(58. 1%) with metastatic lesion.
They were 7 lung cancer, 5 thyroid cancer, 3 stomach cancer, 2 uterus cancer and 1 pharynx cancer. Primary sites were unknown in 13 cases (41. 9%) with metastatic lesion. 8. Main sites of neck injuries were 5 cases (41. 7%) soft tissue, 3 cases (25%) vascular, 2 cases (16.7%)muscle, and 1 (8.3%) nerve, 1(8.3%) larynx.
9. In 48 cases of malignant tumor, radical operation was performed in ,8 cases. Biopsy, chemotherapy, excision and irradiation were performed in the remainder.
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