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目的分析鼻咽癌颈部淋巴结转移的特点,总结颈部肿块与鼻咽癌的关系,提高鼻咽癌的确诊率。方法对89例鼻咽癌患者的临床资料进行回顾性分析,研究鼻咽癌与颈部肿块的关系。结果 89例鼻咽癌患者中有67例出现颈部肿块,其中59例为首发症状,颈部肿块位于病变同侧51例,对侧4例,双侧12例,累及颈深上淋巴结56例。结论鼻咽癌患者大多数会出现颈淋巴结转移,患者以颈部肿块就诊者应首先排除鼻咽癌可能。鼻咽癌转移多位于同侧的颈深上淋巴结。
Objective To analyze the characteristics of cervical lymph node metastasis of nasopharyngeal carcinoma, and to summarize the relationship between cervical mass and nasopharyngeal carcinoma and to improve the diagnosis rate of nasopharyngeal carcinoma. Methods The clinical data of 89 patients with nasopharyngeal carcinoma were retrospectively analyzed to study the relationship between nasopharyngeal carcinoma and cervical mass. Results There were 67 cases of NPC in 89 cases of nasopharyngeal carcinoma, of which 59 cases were the first symptom. The neck mass was located on the same side of the lesion in 51 cases, the contralateral side in 4 cases and the bilateral sides in 12 cases, involving the deep cervical lymph nodes in 56 cases . Conclusion Most cases of NPC patients have cervical lymph node metastasis, patients with cervical mass should first rule out the possibility of nasopharyngeal cancer. Nasopharyngeal carcinoma metastasis and more in the ipsilateral cervical deep lymph nodes.