Department of Oncologic Imaging, National Cancer Centre Singapore, Republic of Singapore.
Clin Radiol. 2013 Nov;68(11):e629-38. doi: 10.1016/j.crad.2013.06.003. Epub 2013 Aug 12.
Nasopharyngeal carcinoma (NPC) is a head and neck neoplasm that occurs in endemic numbers among people of southern Chinese descent. External beam radiation to the nasopharyngeal bed and primary draining lymph node echelons is the mainstay of treatment with concurrent cisplatin-based chemotherapy for more advanced disease. Detection of residual and/or recurrent NPC has important clinical implications, as salvage protocols are available. The review aims to increase awareness of the imaging features of NPC recurrences at local and distant sites using computed tomography (CT), magnetic resonance imaging (MRI), and positron-emission tomography (PET). Important changes in imaging seen in patients after nasopharyngectomy are also discussed.
鼻咽癌（NPC）是一种头颈部肿瘤，在华南地区的人群中发病率较高。对于更晚期的疾病，采用顺铂为基础的同期化疗，对鼻咽床和主要引流淋巴结区进行外照射是主要的治疗方法。检测残留和/或复发性 NPC 具有重要的临床意义，因为有挽救方案。本综述旨在提高对使用计算机断层扫描（CT）、磁共振成像（MRI）和正电子发射断层扫描（PET）检测局部和远处 NPC 复发的影像学特征的认识。还讨论了在接受鼻咽切除术的患者中观察到的影像学变化。
