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问:何为淋巴结的跳跃转移?在头颈部肿瘤中有何意义?(河北省唐山市工人医院耳鼻咽喉科主治医师宋扬)答:淋巴引流不按照正常的淋巴引流方向一站一站的走行,从第1站向第3站,或向更远处的淋巴结引流转移,即为跳跃转移,这种转移亦可见于头颈部肿瘤。原发于头颈不同部位的肿瘤有其各自的引流转移区,如口腔癌易转移至I～III区;舌癌易转移至I～IV区;口咽癌、喉癌和喉咽癌易转移至
Q. What is the significance of leaping in lymph nodes? What is the significance in head and neck cancer? (Song Yang, chief physician, Department of Otorhinolaryngology, Tangshan Workers’ Hospital, Hebei Province) Answer: Lymphatic drainage does not follow the normal direction of lymphatic drainage Walking, from Station 1 to Station 3, or to more distant lymph node drainage transfer, that is jump transfer, this transfer can also be found in head and neck cancer. Primary tumors in different parts of the head and neck have their own drainage and metastasis area, such as oral cancer is easy to metastasize to I ~ III area; tongue cancer is easy to metastasize to IV area; oropharyngeal cancer, laryngeal cancer and hypopharyngeal cancer easily transferred to