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鼻咽癌为我国多发肿瘤之一。有明显的地区性,我国南方患者较多,长江流域次之,由于鼻咽癌位置隐蔽,检查不易。同时鼻咽癌早期症状比较复杂,临床表现多种多样,又缺乏特征性,故早期诊断有一定的困难,常被漏诊和误诊,影响疗效及预后,为了提高临床对本病的认识,吸取教训,总结经验,我将1980年5月～1995年6月遇到鼻咽癌误诊27例分析报告如下。1临床资料1.1 误诊时间:从初诊到确诊时间,1个月以上的为7例:3个月以上的为9例;半年以上的5例;1年以上的3例;2年以上的1例;男性19例,女性8例。1.2 误诊病种:渗出性中耳炎5例.颈淋巴结结核7例;头痛待查1例.咽侧壁肿瘤1例,左眼内斜视力减退1例;慢性上颌窦炎、上颌窦出血性息肉各2例.鼻衄5例,慢性卡他性中耳炎2例。
Nasopharyngeal carcinoma is one of the multiple tumors in our country. There are obvious regional, more patients in southern China, followed by the Yangtze River Basin, due to the hidden position of nasopharyngeal carcinoma, the inspection is not easy. At the same time, the early symptoms of nasopharyngeal carcinoma are complex, the clinical manifestations are diverse and lack of characteristic, so early diagnosis has some difficulties, often missed and misdiagnosed, affecting the efficacy and prognosis, in order to improve clinical understanding of the disease, learn a lesson Summarizing the experience, I met from May 1980 to June 1995 encountered misdiagnosis of nasopharyngeal carcinoma in 27 cases as follows. 1 clinical data 1.1 misdiagnosis time: from the initial diagnosis to the time of diagnosis, more than 1 month for 7 cases: more than 3 months for 9 cases; more than six months in 5 cases; more than 1 year in 3 cases; more than 2 years in 1 case 19 males and 8 females. 1.2 Misdiagnosis: exudative otitis media in 5 cases. Cervical lymph node tuberculosis in 7 cases; headache to be diagnosed in 1. Cases of pharyngeal side wall tumors in one case, left eye strabismus decreased in 1 case; chronic maxillary sinusitis, maxillary sinus hemorrhagic polyps 2 cases of epistaxis in 5 cases, 2 cases of chronic catarrhal otitis media.