皮肌炎与鼻咽癌的关系初探  

Nasopharyngeal carcinoma and dermatomyositis (Analysis of 12 cases)

作　　者：宋新汉[1] 邱前辉[1] 周春燕[1] 彭解人[2] 

机构地区：[1]广东省人民医院耳鼻咽喉科,广州510080 [2]广州中山医科大学孙逸仙纪念医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》1998年第9期401-403,共3页Journal of Clinical Otorhinolaryngology

摘　　要：为探讨皮肌炎与恶性肿瘤，尤其是与鼻咽癌的发病关系，报告12树皮肌炎并发鼻咽癌患者的临床资料。12例除应用皮质激素＋抗生素治疗皮肌炎外，还对鼻咽肿瘤和颈部转移病灶进行放射治疗。1例死亡，11例鼻咽癌肿瘤得到控制，皮肌炎病情痊愈或好转。经随访，1年、3年、5年生存率分别为83．3％，66．7％和33．3％。表明皮肌炎与癌肿之间有较明显的因果关系，只要癌肿得到成功治疗，皮肌炎就可缓解或消退，近期预后较好。The onset relationship between dermatomyositis (DM) and malignant tumor,especially nasopharyngeal carcinoma (NPC),was approached. Approximately 90 cases of DM were admitted in the hospital. Among them 15 cases were complicated with malignant tumor of which 12cases were complicated with NPC (account for 80% of DM with complicated carcinoma). In addition to treat these patients with prednisone and antibiotics,radiation therapy has been applied for NPC and metastasis in the neck. During the hospitalizations,one patient died,eleven patients NPC was controlled,and the DM was completely resolved or improved. There is an obvious relationship between DM and carcinoma. DM may improve or even subside with good short term prognosis,as long as the carcinoma is controlled successfully.

关 键 词：鼻咽肿瘤 皮肌炎 肿瘤发生 

分 类 号：R739.63[医药卫生—肿瘤] R593.260.6[医药卫生—临床医学]