Meuthen I, Hummerich W, Kunstmann G, Brusis T, Sprüth A
Medizinische Klinik, Städtisches Krankenhaus Köln-Holweide.
HNO. 1993 Jan;41(1):37-40.
The differential diagnosis of pharyngeal tumors includes malignomas as well as chronic inflammatory processes. Squamous cell carcinoma is the most prevalent malignoma of the pharynx, representing about 90% of all malignomas of the head and neck. Malignant lymphomas, lymphoepithelial tumors (Schmincke's tumor) and anaplastic carcinomas are less prevalent. Amelanotic melanoma, rhabdomyosarcoma and extramedullary plasmocytoma are rare malignomas of the pharynx. Infectious diseases may also be a cause of pharyngeal tumors which have been reported to be associated with mycobacterial infections, syphilis, leproma, malleus and anthrax. Sarcoidosis and Wegener's granulomatosis are chronic inflammatory diseases of unknown etiology. We report a case of a 65-year-old female with an 11-year history of a slowly progressing tumor of the nasopharynx who had been admitted to hospital with suspicion of a malignoma.
咽部肿瘤的鉴别诊断包括恶性肿瘤以及慢性炎症过程。鳞状细胞癌是咽部最常见的恶性肿瘤，约占头颈部所有恶性肿瘤的90%。恶性淋巴瘤、淋巴上皮瘤（施密克瘤）和间变性癌则较少见。无色素性黑色素瘤、横纹肌肉瘤和髓外浆细胞瘤是咽部罕见的恶性肿瘤。传染病也可能是咽部肿瘤的病因，据报道与分枝杆菌感染、梅毒、麻风、鼻疽和炭疽有关。结节病和韦格纳肉芽肿病是病因不明的慢性炎症性疾病。我们报告一例65岁女性，有11年缓慢进展的鼻咽部肿瘤病史，因怀疑恶性肿瘤入院。
