朱明勋,男,52岁干部1968年7月以左耳听力下降三月、鼻衄一月、伴双颈上淋巴结肿大就诊。体检:双上颈扪及直径约3×3cm大小之淋巴结各一枚、质硬、活动、无压痛、左耳膜混浊。鼻咽镜检;鼻咽左顶侧壁结节状肿物直径约0.5cm大小。钳取活检:鼻咽未分化鳞状上皮癌。颌下颅底位片示:左侧颅底骨质破坏,符合颅底骨质转移。于1968年7月20日～1968年10月16日行钴~(60)放射治疗,原发灶 Zhu Mingxun, male, 52-year-old cadre presented with hearing loss in the left ear in March 1968, nose in January, and lymphadenopathy on both necks in July 1968. Physical examination: A pair of upper cervical rims and lymph nodes with a diameter of about 3×3 cm each have a hard mass, activity, no tenderness, and cloudy left ear membrane. Nasopharyngeal microscopy; the diameter of the nodular mass on the left parietal side of the nasopharyngeal was approximately 0.5 cm. Clamp biopsy: Nasopharyngeal undifferentiated squamous cell carcinoma. The submandibular skull base shows: the left skull base bone destruction, in line with skull base bone metastasis. Cobalt ~ (60) radiotherapy was performed from July 20, 1968 to October 16, 1968.