鼻咽癌是耳鼻咽喉科常见的恶性肿瘤之一。其早期症状不明显,并且位置深在隐晦,很难早期发现;而某些病例表现又特殊加上医务工作者的疏漏,更不易早期诊断,致延误治疗。笔者曾治疗2例以颌下淋巴结肿大为主征的鼻咽癌,现报道如下。1 病例简介 例1 男,32岁。因右颌下淋巴结肿大伴有轻触痛半年,无耳、鼻症状及其他不适,到外科就诊,行淋巴结穿刺细胞学检查,报告为“炎性改变”,经长期抗炎治疗,效果不佳。即手术切除颌下淋巴结送病检, Nasopharyngeal carcinoma is one of the common malignant tumors of otolaryngology. Its early symptoms are not obvious, and the location of deep obscure, it is difficult to find early; and some cases of special performance coupled with the omission of medical workers, more difficult to early diagnosis and delay treatment. The author has treated 2 cases of submandibular lymph nodes mainly characterized by nasopharyngeal carcinoma, are reported below. Case description 1 case male, 32 years old. Because of the right submandibular lymph node enlargement accompanied by tenderness for six months, no ear, nose symptoms and other discomfort, to surgical treatment, lymph node biopsy cytology, reported as “inflammatory changes” by the long-term anti-inflammatory treatment, the effect is not good . That is, surgical removal of submandibular lymph node disease examination,