361例鼻咽癌患者臨床表現特點分析

Analysis on clinical characteristics of 361 patients with nasopharyneal carcinoma

目的分析鼻咽癌的臨床表現特點。方法回顧分析2003年1月~2013年11月間本院初診的361例鼻咽癌患者的臨床資料。結果361例鼻咽癌患者中,男女比為2.72:1,高發年齡為41~60歲。361例病例中234例以單一症狀就診,佔64.82%,當中依次為頸部腫物,佔37.18%,其次為耳部症狀,佔30.34%,涕血、鼻出血等鼻部症狀,佔28.20%。結論鼻咽癌的臨床表現複雜多樣,早期表現不典型,臨床上應警惕鼻咽癌的可能,以減少漏診及誤診。

Objective To investigate the clinical characteristics of patient with nasopharyngeal carcinoma.Methods The clinical data of 361 preliminary cases of nasopharyngeal carcinoma in our hospital from January 2003 to December 2013 were collected and analyzed retrospectively.Results In 361 cases,264 patients were male and 97 patients were female,the ratio was 2.72:1.The peak age was 41-60 years old.234 cases(64.82%)presented only with cervical mass,followed by ontological and nasal symptoms during diagnosis.Conclusion The clinical presentation of nasopharyneal carcinoma is complex and atypical in early stage.To avoid delayed diagnosis and misdiagnosis,should be alert to the symptoms and possibility of nasopharyngeal carcinoma.