单侧无泪作为鼻咽癌的首发症状
Unilateral Alacrima as a Presenting Symptom of Nasopharyngeal Carcinoma.
作者信息
Ko Audrey C, Satterfield Kellie R, Lee Bradford W, Alameddine Ramzi M, Korn Bobby S, Kikkawa Don O
机构信息
*Division of Ophthalmic Plastic and Reconstructive Surgery, Shiley Eye Institute, University of California San Diego, San Diego, California, †Division of Plastic Surgery, University of California San Diego, San Diego, California, and ‡Bascom Palmer Eye Institute, University of Miami, Miami, Florida, U.S.A.
出版信息
Ophthalmic Plast Reconstr Surg. 2017 Mar/Apr;33(2):e41-e42. doi: 10.1097/IOP.0000000000000714.
Advanced nasopharyngeal carcinoma may present to oculoplastic surgeons and ophthalmologists as epiphora or medial canthus swelling. In contrast, the authors describe an uncommon initial presentation of alacrima in a 30-year-old female with nasopharyngeal carcinoma without invasion of the nasolacrimal sac, duct, or lacrimal gland. The diagnosis was delayed due an initial misdiagnosis of dry eye. Nasopharyngeal carcinoma should be included in the differential for diminished tear production, especially if it presents asymmetrically.
晚期鼻咽癌可能以溢泪或内眦肿胀的症状出现在眼整形医生和眼科医生面前。相比之下，作者描述了一名30岁女性鼻咽癌患者罕见的初始表现为无泪，且鼻泪囊、鼻泪管或泪腺未受侵犯。由于最初误诊为干眼症，诊断被延误。鼻咽癌应列入泪液分泌减少的鉴别诊断范围，尤其是当出现不对称表现时。
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