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KMID : 0387919950060010041
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Korean Journal of Cytopathology
1995 Volume.6 No. 1 p.41 ~ p.47
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Metastatic Carcinoma in Lymph Nodes of Neck-Analysis of 221 Cases Diagnosed by fine Needleaspiration Cytology
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김덕환
김윤주/양성은/팽성숙/장희진/손진희/서정일
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Abstract
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Two hundred and twenty one consecutive patients with enlarged lymph nodes of the neck were diagnosed as metastatic carcinoma by fine needle aspiration. The metastatic carcinomas were most frequent in the supraclavicular lymph
nodes(p<0.05). As
a primary site, lung, stomach, upper respiratory tract and breast were commonly involved in descending order of frequency. Overall, squamous cell carcinoma was the most common in males(43%) while adenocarcinoma was the most common in
females(72%)
(p<0.05). While carcinomas of the esophago-gastro-intestinal tract showed a tendency to metastasize to the left supraclavicular lymph nodes, metastatic carcinomas of the lung and breast usually metastasized to the same side as that of the
primary
cancer with a predilection for the supraclavicular lymph nodes. The submandibular lymph nodes were frequently involved by carcinoma of the upper and lower respiratory tract, in which squamous cell carcinoma was the most prevalent
cytologic
type Diagnosis by fine needle aspiration cytology is the first step in the workup of patients with nodal enlargement suspicious for malignancy, particularly in metastatic carcinoma.
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KEYWORD
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