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平滑肌肉瘤多见于消化道、子宫等脏器,发生于咽后壁者极为罕见,我院曾收治1例,报告如下。 患者;女,26岁。进行性鼻阻、语音含混3个月,发现咽部肿物1周,于1984年9月3日入院。无咽痛,不发热。既往无鼻出血及痰中带血史。检查:全身情况好,左颈动脉三角区可扪及2枚花生米大小的淋巴结,质软,可活动。咽后壁略偏左见一肿物,上至鼻咽顶,下达会厌尖,前抵软腭并触及舌根。肿物表面光滑,有粘膜覆盖,呈暗红色,边界清楚,质中,中央部稍软,无触痛,不活动。X线片示:肿物上自鼻咽顶后壁,下至第三颈椎前方,其内可见斑点状钙化影。鼻咽腔造
Leiomyosarcoma more common in the digestive tract, uterus and other organs, occurred in the posterior pharyngeal wall is extremely rare, our hospital has been treated in 1 case, the report is as follows. Patient; female, 26 years old. Progressive nasal obstruction and speech confusion for 3 months revealed pharyngeal masses for 1 week and was admitted to hospital on September 3, 1984. No sore throat, no fever. No previous epistaxis and bleeding history. Examination: The whole body is in good condition. The left carotid artery triangle can be divided into two peanut-sized lymph nodes, which are soft and movable. The posterior pharyngeal wall was slightly left to see a mass, up to the nasopharyngeal top, and the epiglottis was given a sharp tip. It reached the soft palate and touched the base of the tongue. The tumor surface is smooth, covered with mucous membranes, dark red, clear boundary, qualitative, central soft, tender and inactive. The X-ray film showed that the tumor was from the posterior wall of the nasopharyngeal wall and down to the front of the third cervical spine. Spot-like calcification was seen inside. Nasopharyngeal