以颈部淋巴结肿大为首现表现的鼻咽黏膜下癌
[Nasopharyngeal submucous carcinoma with the first show of cervical lymphnode swell].
作者信息
Liu S Y
机构信息
Department of ENT, Union Hospital, Tongji Medical University, Wuhan 430030.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2000 Oct;14(10):452-3.
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 metastasis 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.
目的
了解以颈部淋巴结肿大为首发表现的鼻咽黏膜下癌。
方法
收集4例此类疾病患者的临床资料。
结果
4例鼻咽黏膜下癌在颈部淋巴结转移后3 - 6个月才得以确诊。所有患者均接受了放射治疗，3例在1年内死亡，另1例存活。
结论
对于出现颈部淋巴结肿大的患者，应首先注意鼻咽黏膜下癌的转移。即使细胞学检查、VCA-IgA、CT、MRI等检查均为阴性，甚至已诊断为结核瘤，仍不能排除鼻咽黏膜下癌。
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