脖子長硬塊 先區分有無疼痛
某一天無意摸到自己脖子，突然多了一個不明原因硬塊，您會找哪一科醫師檢查及治療呢？有人覺得應該找外科醫師，又有人認為可能找腫瘤科醫師才對，可惜這些都不是完全正確的答案。<span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span><p></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">其實，當脖子有不明原因硬塊時，可請耳鼻喉科醫師檢查。耳鼻喉科除了治療中耳炎、鼻竇炎、聲帶息肉或打呼等一般常見耳鼻喉科疾病，也擅長於頭頸部腫瘤診斷及治療，包括腮腺腫瘤、頷下腺腫瘤、鼻咽癌、口腔癌、咽喉癌、頸部先天性囊腫及頸部淋巴節等。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">大部分的脖子硬塊，可區分為有痛性及無痛性，會痛的硬塊多為發炎造成，一般藥物治療就會改善，屬於良性腫瘤。相對的，不會痛的硬塊，除了甲狀腺腫瘤及先天性囊腫，大部分都是增大的淋巴結，且無明顯症狀。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">根據統計，在成人增大的淋巴結中，有八成是惡性淋巴結，其中又有八成惡性淋巴結屬於轉移性淋巴結。在所有轉移性的惡性淋巴節中，高達八成從頭頸部惡性腫瘤轉移而來，包括鼻咽癌、口腔癌或咽喉癌等，這些頭頸部惡性腫瘤，要靠耳鼻喉科醫師使用內視鏡做詳細的檢查，找出原發腫瘤，再進一步切片及影像學檢查，才有機會正確治療。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class="MsoNormal"><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">臨床上不乏有病人看過許多科別，才被轉診到耳鼻喉科。下次如果摸到自己的脖子有不明原因硬塊，不要過度緊張，趕緊到醫院，請耳鼻喉科醫師幫忙，進一步的檢查及治療。</span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US"><o:p></o:p></span></p>