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例1,男性,14岁。右耳闷、耳聋伴鼻塞5个月,偶有痰中带血。曾以“分泌性中耳炎”接受激素、抗生素治疗多次,疗效不佳。20余天前始出现双耳后迅速增大之无痛性肿块,被外院诊断为“病毒性腮腺炎”,因治疗无效而来本院就诊。检查见:全身状况良好,两颈侧胸锁乳突肌上段前缘巨大肿块,各为3×4.5cm和3×5cm,质偏硬,不活动,无压痛。因张口较小,直接予鼻咽部内窥镜检查,见:右鼻咽顶后壁灰白色新生物1.5cm×1.5cm大,表面有糜烂坏死。活检病理诊断鼻咽部低分化鳞癌。经转院行放射治疗及综合治疗,颈部与鼻咽部肿块消失,现正在进
Example 1, male, 14 years old. Right ear stuffy, deafness with nasal congestion for 5 months, occasionally bloody sputum. Had “secretory otitis media” to accept hormones, antibiotics many times, poor efficacy. More than 20 days before the beginning of binaural painless mass rapidly increased, was diagnosed as “viral parotitis” outside the hospital, due to treatment ineffective to our hospital. Check to see: the general condition is good, the two neck sternocleidomastoid large frontal large tumor, each 3 × 4.5cm and 3 × 5cm, qualitative hard, inactive, no tenderness. Due to the mouth is smaller, directly to the nasopharynx endoscopy, see: right nasopharyngeal wall gray white neoplasms 1.5cm × 1.5cm large surface erosion necrosis. Biopsy pathological diagnosis of nasopharyngeal poorly differentiated squamous cell carcinoma. Transferred to the hospital radiotherapy and comprehensive treatment, neck and nasopharyngeal mass disappeared, is now entering