Universidade Federal de Goiás, Goiânia, GO, Brazil.
Einstein (Sao Paulo). 2022 Aug 29;20:eRC0035. doi: 10.31744/einstein_journal/2022RC0035. eCollection 2022.
Nasopharyngeal carcinoma is rare and affect mainly men between the fourth and sixth decades of life. The clinic is characterized to be nonspecific and the main complaints or findings related to this disease are: cervical mass, aural dysfunction, and headache. The basis of treatment is radiotherapy that involves a wide field of irradiation of normal tissues, which usually generates sequelae with direct implications for quality of life. We report a case of a nasopharyngeal carcinoma treated with radiotherapy and chemotherapy that evolved, after 8 years, into supraglottic stenosis. We emphasize the relevance of clinical follow-up after radiotherapy, particularly due to the late sequelae and the relevance of using radiotherapy devices with a more focal cancer field, in order to minimize complications.
鼻咽癌罕见,主要影响 40 至 60 岁的男性。其临床特征是非特异性的,与该疾病相关的主要症状或发现包括:颈部肿块、听觉功能障碍和头痛。治疗的基础是放疗,它涉及广泛的正常组织照射,这通常会产生对生活质量有直接影响的后遗症。我们报告了一例鼻咽癌患者,经放疗和化疗治疗,8 年后发展为声门上狭窄。我们强调放疗后临床随访的重要性,特别是由于迟发性后遗症以及使用更聚焦于癌症部位的放疗设备的相关性,以最小化并发症。