An analysis of clinical presentation and misdiagnosis in patient with nasopharyngeal carcinoma

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An analysis of clinical presentation and misdiagnosis in patient with nasopharyngeal carcinoma

更新时间：2024-01-17

- An analysis of clinical presentation and misdiagnosis in patient with nasopharyngeal carcinoma
- Journal of Chongqing Medical University Issue 2, Pages: 189-190(2001)
- 作者机构：
  
  重庆医科大学临床学院肿瘤放疗科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R739.63
- Published：2001，
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[1]陈晓品,张菊,张涛.鼻咽癌的临床表现及误诊(附507例分析)[J].重庆医科大学学报,2001(02):189-190+192.

An analysis of clinical presentation and misdiagnosis in patient with nasopharyngeal carcinoma. [J]. Journal of Chongqing Medical University (2):189-190(2001)
[1]陈晓品,张菊,张涛.鼻咽癌的临床表现及误诊(附507例分析)[J].重庆医科大学学报,2001(02):189-190+192. DOI：

An analysis of clinical presentation and misdiagnosis in patient with nasopharyngeal carcinoma. [J]. Journal of Chongqing Medical University (2):189-190(2001) DOI：

摘要

目的：分析507例鼻咽癌的临床表现和误诊特点。方法：收集自1996年1月至1999年12月我科收治的经病理确诊的507例鼻咽癌患者病史资料，分析其临床表现及误诊率。结果：本组鼻咽癌病例的主要临床表现包括涕血，鼻塞，耳鸣，听力下降，头痛，颈淋巴结肿大，颅神经损害和Horner’s征。首诊时的误诊率为86.98％。对生活影响较小的症状如涕血、鼻塞、耳鸣误诊时间较长，头痛、颈淋巴结肿大和颅神经等表现严重的症状误诊时间较短。结论：本文结果表明对具有上述鼻咽癌症状的病人进行仔细的耳鼻喉科检查是及时诊断鼻咽癌的重要步骤。

Abstract

Objective: To investigate the clinical presentation and misdiagnostic causes of 507 patients with nasopharyngeal carcinoma. Methods: The analysis was performed in 507 cases of the nasopharyngeal carcinoma treated from January 1996 to the end of 1999. Results: The clinical presentation of patients with nasopharyngeal carcinoma includes epistaxis

nasal obstruction

ear pain

hearing loss

headache

cervical lymph node involvement

cranial nerve involvement and horner’s syndrome. At the time of initial diagnosis

the rate of misdiagnosis was 86.98% for all cases. The duration before getting pathologic document was longer in patient with mild symptoms such as epistaxis

nasal obstruction and/or ear pain than that with headache

cranial involvement and/or cervical lymph node involvement. Conclusion: Our results demonstrate that it is an important procedure for patients with symptoms linking to nasopharyngeal carcinoma to receive careful examination for the ear

nasopharynx and nose.

关键词

鼻咽癌临床表现误诊

Keywords

nasopharyngeal carcinomaclinical presentationmisdiagnosis

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Related Institution

重庆医科大学第一院耳鼻喉科

重庆医科大学病理生理教研室

Department of Biochemistry

重庆医科大学第一医院放射治疗室

Department of Otolaryngology, College of Clinical Medicine

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