van Hasselt C A, John D G
Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T.
Laryngoscope. 1994 Jan;104(1 Pt 1):103-4. doi: 10.1288/00005537-199401000-00019.
When nasopharyngeal carcinoma is suspected clinically, an adequate tissue sample should be taken at the patient's first visit. Should the initial tissue sample be nondiagnostic, depending on the index of suspicion in the individual case, the process may be repeated under either local or general anesthesia. It is important that a detailed examination of the nasopharynx be undertaken in the outpatient setting. Biopsy should be performed accurately under direct visualization. Large biopsy forceps are essential to obtain an adequate tissue sample. Biopsy under local anesthesia is safe, easy to perform, well tolerated by the patient, and should be undertaken in the outpatient clinic. This direct diagnostic approach achieves a rapid diagnosis in patients with nasopharyngeal carcinoma.
当临床上怀疑为鼻咽癌时，应在患者首次就诊时采集足够的组织样本。如果初始组织样本无法确诊，根据个案的怀疑指数，可在局部或全身麻醉下重复该过程。在门诊环境中对鼻咽进行详细检查很重要。活检应在直接可视下准确进行。大型活检钳对于获取足够的组织样本至关重要。局部麻醉下的活检安全、易于操作、患者耐受性良好，应在门诊进行。这种直接诊断方法可使鼻咽癌患者快速得到诊断。
