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患者,男,23岁,因“左侧头痛及眼胀痛半年,发现鼻咽新生物15d”入院。半年前无明显诱因偶感左侧头痛及眼胀痛,无鼻塞、浓涕,无耳鸣、耳闷胀感,口服止痛药物无效。2个月前疼痛逐渐加重,经抗感染治疗无效。1个月前出现盗汗,并逐渐加重。15d前在当地医院就诊,鼻内镜下见鼻咽顶后壁新生物,表面欠光滑,双侧咽隐窝饱满,活检质较脆,考虑鼻咽癌。鼻窦CT考虑左侧蝶窦中心肿瘤性病变;MRI提示左侧蝶窦见片状稍短T1、长T2信
Patients, male, 23 years old, due to “left headache and eye pain for six months, found nasopharyngeal neoplasm 15d ” admission. Six months ago, there was no obvious incentive to feel the left headache and eye pain, no stuffy nose, clear tears, no tinnitus, stuffy ears and fullness, and oral painkillers were ineffective. 2 months ago, the pain gradually increased, the anti-infective therapy is invalid. 1 month ago, night sweats, and gradually increased. 15d before treatment at a local hospital, nasal endoscopic nasopharyngeal see the posterior wall of new biological, surface less smooth, bilateral pharyngeal crypts, biopsy quality more fragile, consider nasopharyngeal carcinoma. Sinus CT consider the left sphenoid sinus tumor lesions; MRI prompted the left sphenoid sinus see flake slightly shorter T1, T2 letter