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患者女,71岁;教师.发现左颈部肿块,拟“鼻咽癌”收入院.患者于5个月前发现左颈肿块由黄豆大逐渐增大至鸽蛋大小,质中,活动性好,无压痛.3个月前发现右颈沿胸锁乳突肌可触及花生米大肿块,质硬,活动性差,无压痛.并于胸骨上窝扪及一个肿块,性质同左颈部肿块.入院前1周,行鼻咽部粘膜病理活检示:恶性肿瘤考虑为低分化鳞状细胞癌.入院后行鼻咽部CT检查示鼻咽部狭窄,鼻咽右后壁肿胀增厚且形
Patient female, 71 years old; teacher. Found left neck mass, intended to “nose nasopharyngeal carcinoma” income hospital. Patients found in 5 months ago left neck mass gradually increased from soybean to egg size, quality, activity is good , No tenderness. 3 months ago found that the right neck along the sternocleidomastoid muscle palpable mass can be large, hard, poor mobility, no tenderness, and in the upper sternal fossa and a lump, the nature of the same with the left neck mass. Admission In the first week, the pathological biopsy of nasopharyngeal mucosa showed that malignant tumors were considered as poorly differentiated squamous cell carcinoma. After CT examination of the nasopharynx, the stenosis of the nasopharynx and the swelling of the right posterior wall of the nasopharyngeal were thickened and shaped.