摘要
目的探讨以耳部症状为首发症状鼻咽癌的临床特点,减少漏诊和误诊。方法分析41例鼻咽癌以耳部症状为首发症状患者的临床资料。结果41例患者中,听力下降36例,耳痛无听力下降5例,其中伴耳鸣31例,头痛7例,面部麻木疼痛6例,眼球外展受限6例等。本组患者易被误诊为分泌性中耳炎等疾病。误诊患者中以浸润型(43.48%)和黏膜下型(26.09%)鼻咽癌为主,活检时如取材不深不易确诊。结论对可疑以耳部症状为首发症状的鼻咽癌者应仔细检查鼻咽部,多次活检可以降低鼻咽癌的误诊。
Objective To explore clinical features nasopharyngeal carcinoma （NPC） with ear symptoms as initial appearance and to reduce the missed diagnosis and the misdiagnosis of NPC. Methods The clinical data of 41 NPC patients with ear symptoms as initial appearance were retrospectively analyzed. Results Of 41 NPC eases, there were 36 cases of hearing loss,5 cases of earache without hearing loss, 31 cases of tinnitus,7 cases of headache, 6 cases of pain and numbness in the face, 6 cases of the eye with limited out. This group of patients would easily be misdiagnosed for diseases such as secretory otitis media. Invasive type （43.48%）and submueouse type（26.09% ） were the general histological types in these misdiagnosed patients. Early disease might not be earily found and misdiagnosed if biopsy depth was not enough. Conclusion Careful examing and repeated biopsy of nasopharynx of the suspected NPC patients with ear symptoms as initial appearance could reduce the misdiagnosis of NPC.
出处
《宁夏医科大学学报》
2009年第2期194-195,200,共3页
Journal of Ningxia Medical University
关键词
鼻咽癌
听力下降
耳鸣
耳痛
nasopharyngeal carcinoma
hearing loss
tinnitus
earache
