头颈部恶性肿瘤常有区域性淋巴结转移 ,根据原发部位其转移率不同。对于 N1～ 3 的病例 ,常规治疗为颈淋巴结清扫术 ,必要时加用放射治疗。对于 N0 患者 ,其颈部处理有不同见解 ,文献上多有争论。放疗医师主张应用放疗控制 ,颈部给 50 Gy,可以治愈 90 %病例 ;外科医师主张手术 Head and neck cancer often have regional lymph node metastasis, according to the primary site of its different rates of metastasis. For N1 ~ 3 cases, routine treatment for cervical lymph node dissection, if necessary, plus radiation therapy. For N0 patients, there are different views of the neck treatment, the literature is more controversial. Radiologists advocate the use of radiotherapy control, neck to 50 Gy, can cure 90% of cases; surgeons advocate surgery