早期鼻咽癌内镜下表现分析

Endoscopic analysis of nasopharyngeal carcinoma

目的总结早期鼻咽癌的内镜表现,为内镜检查中早期发现鼻咽癌提供经验。方法回顾性分析2015年1月—2016年12月我院经病理确诊的130例鼻咽癌病例,分析总结其内镜照片,以病理类型分类,了解不同类型鼻咽癌的好发部位、大体分型和内镜特点。从中发现早期病变,并单独分析。结果 130例中25例为早期病变,所有病例均为非角化性未分化型癌,其中溃疡型1例,隆起型10例,浅表型8例,黏膜下型5例,结节型1例。病变位于咽隐窝14例,鼻咽后壁4例,顶后壁5例,圆枕2例。结论了解早期病变的特征可提高常规行鼻内镜、鼻咽镜检查时发现鼻咽癌的机会。

Objective To summary the early detections and endoscopy attentions,to provid experiences of detection early nasopharyngeal carcinoma by endoscopy.Methods Total 130 patients with nasopharyngeal carcinoma were retrospectively selected from January 2015 to December 2016.Analysis the endoscope photos,the patients are dividided by pathology,we try to know the predilection sites and gross types and endoscopy characteristics of different types.And try to find the early nasopharyngeal carcinoma and analysis separately.Results we find 25 patient with early nasopharyngeal carcinoma in 130 patient.They are all non-keratin nasopharyngeal carcinoma,1 ulcertive type,10 protruded type,8 superficial type,5 submucosal type,1 nodular type.11 predilection sites is pharygeal recess,3 predilection sites is posterior wall of nasopharynx,4 predilection sites is posterior parietal wall of nasopharynx,2 predilection sites is torus.Conclusions Endoscopy characteristics of early nasopharyngeal carcinoma is helpful for us to diagnosis nasopharyngeal carcinoma early.