Progressive neck mass

Neck masses are one of the most common diseases of the neck. The foreign scholar Skondalakis summed up an "80% rule" for the diagnosis of neck masses: ① For non-thyroid neck masses, about 20% are inflammation and congenital Disease; and the remaining 80% are true tumors. ② For patients with true tumors, about 20% are benign tumors and 80% are malignant. At the same time, they are related to gender, about 20% are females and 80% are males. ③ Among neck malignant tumors, 20% are primary of the neck, and most of them are metastatic lesions (80%) derived from malignant tumors in other parts of the body. ④ 80% of neck metastases originate from the head and face, and 20% originate from the human torso. It must be noted that about 20% of all metastatic cancers in the neck still have no primary lesions even after clinical, imaging, cytology, and laboratory tests. Cancer. For primary tumors of the neck, local root treatment is reliable. For metastatic cancer of the neck, the primary site must be found first, and under the condition of primary site lesion control, neck dissection can be performed at the same time, which can also achieve better results. For neck metastatic cancer of unknown origin, neck lymphadenectomy or radiation therapy and comprehensive treatment can be performed for metastatic cancer, and the primary lesions continue to be searched. Such patients have poor efficacy and poor prognosis.