摘要
目的探讨青少年鼻咽癌的临床特点。方法对４７例青少年鼻咽癌的临床症状、病理类型、诊断、放射治疗等进行回顾性分析。结果首发症状以颈部肿块、鼻咽部症状为主，其次为头痛。病理类型主要为低分化鳞癌（７９％）、未分化癌（１４９％）。４７例发生误诊１９例，误诊率４０４％。经６０Ｃｏ放射治疗５年生存率４４７％（２１／４７）。结论青少年鼻咽癌发生率低、恶性度高、早期诊断率低、误诊率高，放射剂量以６０～７０Ｇｙ为宜。
Objective To approach the clinical expressions of teenagers' nasopharyngeal carcinoma.Methods Make a retrospective analysis of the clinical behavior,pathological types,diagnosis and radiotherapy of 47 teenagers' nasopharyngeal carcinoma.Results The first attack is characterized by cergvical tumor,nasopharyngeal symptoms followed by,headache,with hypodifferented squamous cell carcinoma(79%),nondifferented cell carcinoma(14.9%) as its pathological types.There are 19 of the 47 patients misdiagnosed, with a misdiagnosed percentage of 40.4% and a five year survival rate of 44.7% after Cobalt 60 radiotherapy(21/47).Conclusions There is a low incidence of teenagers' nasopharyngeal carcinoma,a high degree of perniciousness,a low percentage of early diagnosis,and a high percentage of misdiagnosed cases.The appropriate dosage of radiotherapy is 60～70Gy.
出处
《河南肿瘤学杂志》
1999年第1期41-43,共3页
Henan Journal of Oncology
关键词
青少年
鼻咽癌
放射治疗
teenagers,nasopharyngeal carcinoma,radiotherapy
