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鼻咽癌是常见的恶性肿瘤之一,因其原发瘤小或在粘膜下浸润生长,部位隐蔽,症状复杂缺乏特征,故临床漏诊率和误诊率较高,应当予以重视,现将我们遇到的一例报告如下; 患者男,37岁,上海市人,病历号3909S。因左颌下肿物进行性生长一月余。抗炎治疗无效来我院就诊。临床检查:左倾下三角区隆起,可触及一个4cm×8cm大小肿物,其表面光滑无结节,活动,质中等,无触痛,边界清楚,与周围组织及皮肤无粘连。血、尿及胸透等各项检查均未见异常。临床印象:左颌下淋巴结结核。局麻下完整摘除肿物。术后伤口愈合良好,无不适主
Nasopharyngeal carcinoma (NPC) is one of the most common malignancies. Because it has small primary tumors or infiltrates in the submucosa, the site is hidden, and the symptoms are complex and lacking features. Therefore, the rate of clinical missed diagnosis and misdiagnosis is high, and attention should be paid to it. An example report is as follows; Patient male, 37 years old, Shanghai person, medical record number 3909S. Due to the left submandibular mass progressive growth for more than a month. Anti-inflammatory treatment invalid to our hospital. Clinical examination: The left triangle tilts up and touches a 4cm x 8cm mass. The surface is smooth without nodules, and is of medium quality. It has no tenderness, clear boundaries, and no adhesion with the surrounding tissues and skin. No abnormalities were found in blood, urine and chest x-rays. Clinical impression: left submandibular lymph node tuberculosis. Complete removal of the mass under local anesthesia. Postoperative wound healing is good, no discomfort