Liu S J, Hsu C J, Hsieh T
Department of Otolaryngology, National Taiwan University Hospital, Taipei, R.O.C.
J Formos Med Assoc. 1993 Nov;92(11):1007-9.
A nasopharyngeal mass with cranial neuropathies usually indicates an advanced neoplastic process. We present a case of nasopharyngeal carcinoma diagnosed and treated 38 years ago. A nasopharyngeal mass recurred with cranial neuropathies and concurrent otologic infection in June, 1990. Repeated nasopharyngeal biopsies were negative with respect to tumors. Suspecting direct extension of the otologic infection, modified radical mastoidectomy was performed. The nasopharyngeal mass resolved after the surgical intervention. Spread of otologic infection from the temporal bone to the nasopharynx may be more common than was previously thought. Clinicians should modify diagnostic approaches in patients with a nasopharyngeal mass and concurrent otologic disease.
伴有颅神经病变的鼻咽部肿物通常提示肿瘤进展至晚期。我们报告1例38年前诊断并接受治疗的鼻咽癌病例。1990年6月，鼻咽部肿物复发并伴有颅神经病变及耳部感染。多次鼻咽部活检均未发现肿瘤。考虑耳部感染直接蔓延，遂行改良乳突根治术。手术干预后鼻咽部肿物消退。耳部感染从颞骨蔓延至鼻咽部可能比之前认为的更为常见。临床医生应对伴有鼻咽部肿物及耳部疾病的患者调整诊断方法。
