Woollons A C, Morton R P
Department of Otolaryngology/Head & Neck Surgery, Green Lane Hospital, Auckland.
N Z Med J. 1994 Dec 14;107(991):507-9.
To analyse the presenting symptoms of patients with nasopharyngeal carcinoma seen in Auckland, New Zealand, with emphasis on the significance of otological symptoms.
The records of 85 patients with nasopharyngeal carcinoma seen in the department between 1980-93 were reviewed.
Twenty eight of patients were Pacific Island Polynesian, 21 caucasian, and 18 Chinese. The youngest patient was 11 years old. The most prominent symptoms were neck mass (53), deafness/otalgia (45), nasal obstruction (35) and epistaxis (30). The ear symptoms, representing middle ear effusion were evident for more than 9 months, on average, before a diagnosis was made. Most patients presented with multiple symptoms: 95% of patients had one or more of the above four cardinal symptoms. Only two patients presented with middle ear effusion alone: 95 of the patients with middle ear effusion had another, accompanying, cardinal symptom. Nineteen patients had cranial nerve involvement.
Neck mass, deafness/otalgia, progressive nasal obstruction and epistaxis are the cardinal symptoms of nasopharyngeal carcinoma. A persisting middle ear effusion in people over 10 years of age must be examined for nasopharyngeal carcinoma, if an accompanying cardinal symptom is also present, or develops.
分析在新西兰奥克兰市就诊的鼻咽癌患者的症状表现，重点关注耳科症状的意义。
回顾了1980年至1993年间在该科室就诊的85例鼻咽癌患者的记录。
28例患者为太平洋岛波利尼西亚人，21例为白种人，18例为中国人。最年轻的患者11岁。最突出的症状是颈部肿块（53例）、耳聋/耳痛（45例）、鼻塞（35例）和鼻出血（30例）。代表中耳积液的耳部症状在确诊前平均持续9个月以上。大多数患者表现出多种症状：95%的患者有上述四种主要症状中的一种或多种。仅2例患者仅表现为中耳积液：95例中耳积液患者有另一种伴随的主要症状。19例患者有颅神经受累。
颈部肿块、耳聋/耳痛、进行性鼻塞和鼻出血是鼻咽癌的主要症状。10岁以上人群若持续出现中耳积液，且伴有或出现其他主要症状，必须检查是否患有鼻咽癌。
