鼻咽癌是常见的头颈部肿瘤 ,颈部转移率可高达78 9% [1] ,且转移发生较早 ,因而不少鼻咽癌患者首诊于口腔科。为总结主诉颈转移鼻咽癌的临床规律 ,促进及时诊治 ,减少误诊 ,作者对首诊于口腔科的 34例主诉颈转移鼻咽癌病例进行分析 ,为临床上鉴别鼻咽癌颈部转移提供参考。1　临 Nasopharyngeal carcinoma is a common head and neck cancer, neck metastasis rate as high as 78.9% [1], and metastasis occurred earlier, so many patients with nasopharyngeal carcinoma first diagnosis in the Department of Stomatology. In order to summarize the clinical manifestations of primary cervical metastasis of nasopharyngeal carcinoma, and to promote timely diagnosis and treatment and to reduce the misdiagnosis, the authors analyzed 34 cases of primary cervical metastasis of nasopharyngeal carcinoma, which were first diagnosed in stomatology, reference. 1 Pro