鼻咽癌由于鼻咽癌部位隐蔽,症状比较复杂,如单侧头痛或复视、上颈部肿块,后吸性涕中带血,一侧分泌性中耳炎等,常可作为早期症状或首发症状单独出现,因此容易漏诊、误诊。此外,慢性上颌窦炎及慢性蝶窦炎亦可能是鼻咽癌患者的首发症状或表现。现将我科近年来收治的3例以慢性蝶窦炎为首发表现的鼻咽癌报告如下。 Nasopharyngeal carcinoma due to the hidden parts of nasopharyngeal carcinoma, the symptoms are more complex, such as unilateral headache or diplopia, the neck mass, after taking the bloody tears in the side of the secretion of otitis media, etc., can often be used as an early symptom or first symptom Appear alone, so easy to misdiagnosis. In addition, chronic maxillary sinusitis and chronic sphenoid sinusitis may also be the first symptom or manifestation of NPC patients. Now my department admitted in recent years, 3 cases of chronic sphenoid sinusitis as the first performance of nasopharyngeal carcinoma reported as follows.