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鼻咽癌是一种鼻咽部的实体瘤,但是白血病浸润非常少见,现上海医科大学肿瘤医院收洽一例,报告如下。 患者男,55岁,1990年11月以“左侧鼻塞,左耳听力下降伴间歇性头痛、呕吐8个月、可缩性血涕1月余为主诉就诊。患者曾在上海仁济医院经鼻腔活检病理鼻咽白血病细胞浸润,追问病史既往于1958年行右鼻腔畸胎瘤手术,1985年因急性粒一单性白血病行化疗缓解至今。体格检查:一般情况可,双颈、腋窝、腹股沟未触及淋巴结,肝脾肋下未及,鼻腔左后见肿物,鼻咽镜下见鼻咽顶及左侧充壁满肿块,培塞充后鼻孔、血Rt:WBC4800个/m~3,VCA—IgA阴性。胸透:心肺无异常,骨穿:M4继续缓解之骨髓象。CT:鼻咽左侧壁肿瘤白及左鼻腔、上颌窦、
Nasopharyngeal carcinoma is a solid tumor of the nasopharynx, but leukemia infiltration is very rare. Now the case of the tumor treatment hospital of Shanghai Medical University is reported. The report is as follows. The patient was male, 55 years old. In November 1990, he was referred to the left side of the nose, hearing loss in the left ear with intermittent headache, vomiting for 8 months, deflated blood stasis in 1 month, and the patient was the chief complaint. The patient had been at the Renji Hospital in Shanghai. Nasopharyngeal biopsy Pathology Nasopharyngeal leukemia cell infiltration, history of previous questioning was performed in 1958, right nasal cavity teratoma surgery, in 1985 due to acute granulomonoadenoic leukemia chemotherapy to ease so far. Physical examination: general situation can be, double neck, axillary, groin Untouched lymph nodes, liver and spleen under the ribs, nasal cavity, left see tumor, nasopharyngeal see the top of the nasopharynx and the left side of the full-filled mass, pustule after filling the nostrils, blood Rt: WBC4800 / m ~ 3, VCA-IgA-negative chest: no abnormalities in heart and lung, bone wear: bone marrow image of M4 continue to relieve CT: nasopharyngeal left wall tumor white and left nasal cavity, maxillary sinus,