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我院自1965年至1987年间共收治了19例鼻咽腺样囊性癌患者,其中男性10例,女性9例(男女之比为1:1.11)。发病年龄为30～60岁,40岁以上的17例(89.4％)。涕血是最常见的首发症状12例(63.2％),其次是颅神经损伤症状和鼻塞各8例(42.1％),特别是颅神经损伤以三叉神经受累最多。此外,原发瘤可以扩展到鼻腔(5例),副鼻窦和颅底(5例)。平均首发症状至确诊时间为7.2个月。最长者达60个月。13例接受手术和/或放疗;6例晚期患者接受单纯化疗。随访7例(36.84％)生存达5年以上。
In our hospital, 19 patients with adenoid cystic carcinoma of the nasopharyngeal were treated from 1965 to 1987, including 10 males and 9 females (the ratio between males and females was 1:1.11). The age of onset was 30 to 60 years and 17 cases (89.4%) were over 40 years of age. Bleeding was the most common first symptom in 12 cases (63.2%), followed by cranial nerve injury symptoms and nasal congestion in 8 cases (42.1%), especially cranial nerve injury with trigeminal nerve involvement. In addition, primary tumors can be expanded into the nasal cavity (5 cases), paranasal sinus and skull base (5 cases). The average initial symptoms to diagnosis was 7.2 months. The longest is 60 months. Thirteen patients underwent surgery and/or radiotherapy; 6 advanced patients received chemotherapy alone. Follow-up 7 cases (36.84%) survived for more than 5 years.