鼻咽部恶性肿瘤3306例分析

ANALYSIS OF 3306 PATIENTS WITH MALIGNANT TUMORS IN NASOPHARYNX

本文回顾性分析了我院２４年（１９６２～１９８５）经病理确诊的鼻咽部恶性肿瘤３３０６例。男性２５７１例（７７７７％），女性７３５例（２２２３％），男女比为３５∶１。发病年龄平均５３１５岁（男５４０４岁，女５２２２岁），高峰年龄为４１～５０岁（３５１５％）。１５岁以内者２１例，最小年龄：男性３岁，女性７岁。首发症状以颈部肿块（４２４４％）和涕血（３３０９％）最常见。本组以鼻咽癌（ＮＰＣ）最多（９９４２％），肉瘤仅１９例（０５８％）。占我院同期耳鼻咽喉恶性肿瘤的６８８３％；占头颈部的５０４６％；占全身的２００４％。年平均就诊人次为１２５１（１９６２～１９７１）、１４６５（１９７２～１９８１）、１４７５（１９８２～１９８５），表明ＮＰＣ就诊具有稳定性。资料提示鼻咽部恶性肿瘤，以ＮＰＣ在我省常见多发，需加强防治措施。

A series of 3306 patients with malignant tumors in the nasopharynx confirmed by pathology in a period of 24 years (1962 to 1985) were analysed There were 2571 males and 735 females and the ratio of male to female was 3 5∶1 The mean age was 53 15 years, the peak age was 41 to 50 years (35 15%), 21 of them were under 15 and the youngest patient was 3 years old The neck mass (42 44%) and blood tinge sputum (33 09%) were the most common initial symptoms In this series, 99 42% was nasopharyngeal carcinoma (NPC). The 3306 cases of nasopharyngeal malignant tumors accounted for 68 83% of overall malignancies in the ENT, 50 46% of the head and neck malignancies and 20 04% of the malignant tumors in the whole body The mean annual incidence of nasopharyngeal malignant tumors was 125 1 (1962 to 1971), 146 5 (1972 to 1981) and 147 5 (1982 to 1985) person times respectively. The data showed that the nasopharyngeal malignant tumors, espcially in NPC, are common in Hunan province, China and progress has to be made in diagnosis and prevention