鼻咽癌并颈部肿块273例临床分析  

Nasopharyngeal Carcinoma and Cervicalmasses

作　　者：王最青[1] 彭波[1] 

机构地区：[1]广东医学院第二附属医院耳鼻咽喉科,广东湛江524003

出　　处：《河北医学》2007年第3期324-326,共3页Hebei Medicine

摘　　要：目的:分析鼻咽癌颈淋巴结转移的特点及鼻咽癌与颈部肿块的关系。方法:对354例鼻咽癌患者的临床资料进行回顾性分析。结果:354例鼻咽癌患者中有273例出现颈部肿块,其中152例为首发症状。颈部肿块位于病变同侧198例、对侧7例、双侧68例;累及颈深上淋巴结者256例。N0、N1、N2之间的EB病毒VCA-IgA滴度水平差异无显著性;巨大颈部肿块与远处转移相关。结论:鼻咽癌患者大多数会出现颈淋巴结转移,多位于病变同侧的颈深上淋巴结;EB病毒抗体滴度与颈淋巴结转移无显著相关性;巨大颈部肿块者发生远处转移可能性大。Objective: To study the clinical characteristic of cervicalmetastatic lymph nodes in patientswith nasopharyngeal carcinoma(NPC) and the relation between NPC and cervicalmasses.Method: The clinicalmaterial of 354 cases with NPC was analyzed retrospectively. Result:Two hundred and seventy-three of 354 cases sufferedfrom cervicalmasses and 152 cases began with them.In all cases,198 cases had cervicalmasses on the same lateral of lesion,68 caseson both sides,and others on the opposite sides. In 256 cases,themasses were found to be the involved superior deep cervical lymph nodes.There was no remarkable difference between the NPC with cervicalmasses and without cervicalmasses in EBVCA-IgA titers.Largemasses were relative tometastases.Conclusion:Superior deep cervical lymph nodes were involved in most of the patients with NPC,usually on the same lateral of lesion.The EBVCA-IgA titers were not relative to cervicalmasses.Distantmetastases were more likely to be detected in patients with largemasses.

关 键 词：鼻咽肿瘤 颈淋巴结 淋巴转移 

分 类 号：R739.63[医药卫生—肿瘤]