摘要
目的 :加深对以颈上深淋巴结肿大为首发表现的鼻咽粘膜下型癌的认识。方法 :报告 4例本病患者的临床资料。结果 :4例直至发现颈部淋巴结肿大 3～ 6个月后 ,才得以确诊为鼻咽粘膜下型癌 ;均行放疗加化疗 ,3例在 1年内死亡 ,1例尚生存。结论 :对颈上深部淋巴结肿大 ,首先应考虑为鼻咽粘膜下型癌的转移癌。即使细胞学、VCA- Ig A、CT、MRI、鼻咽部等检查均为阴性 ,有的甚至已确诊为淋巴结核瘤 ,但仍不能排除鼻咽粘膜下型癌存在的可能。
Objective:To understand the nasopharyngeal submucous carcinoma with the first show of cervical lymph node swell.Method:To collect the clinical data of 4 patients with such disease.Result:The 4 cases of nasopharyngeal submucous carcinoma were not diagnosed until 3~6 months after cervical lymphnode metastasis.All patients received radiotherapy,three died within 1 year and another survived.Conclusion:If some patients have cervical lymph node swell,pay attention to the meastasis of nasopharyngeal submucous carcinoma firstly.Even the examinations such as cytologic test,VCA IgA,CT,MRI were negative,or even tuberculomas had been diagnosed,nasopharyngeal submucous carcinoma still can not be excluded.
出处
《临床耳鼻咽喉科杂志》
CSCD
2000年第10期452-453,共2页
Journal of Clinical Otorhinolaryngology
关键词
鼻咽癌
鼻咽粘膜下型癌
颈淋巴结肿大
Cervical lymph node Nasopharyngeal neoplasms Lymphatic metastasis
