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病例报告 陈某,女,55岁(住院号174843),佛山籍,水运工人,1971年6月因右颈肿物5个月就诊,无其他不适。体查:一般情况无特殊。右颈深上淋巴结肿大3×2cm,质硬,活动。鼻咽镜检见右顶前壁增厚,活检证实为鼻咽低分化鳞癌。于同年9月至11月在中山医学院肿瘤医院行钴~(60)分段放疗,经两侧野及鼻前野给予鼻咽组织量6432 rads。放疗后随诊11年6个月无复发。至1983年3月,患者开始出现左鼻塞,鼻涕间带有血丝并伴有嗅觉减退。于同年8月就诊时,已出现轻度贫血(RBC316万/mm~3,Hb8g％)。VCA-IgA1:40。体查见左鼻背隆起,左鼻腔被肿物堵塞,并向鼻咽腔突出,表面污秽,有嗅味。鼻中隔被肿物明显压向右侧。颈淋巴结无肿大。副鼻窦Water’s位及Caldwell’s位X线照片显示左鼻腔占
Case Report Chen, female, 55 years old (Hospital No. 174843), a native of Foshan, a water transport worker. In June 1971, he was referred to the right neck mass for 5 months without any other discomfort. Physical examination: no special circumstances in general. The deep neck of the right neck is swollen 3×2cm, hard and active. Nasopharyngeal examination revealed a thickening of the anterior wall of the right top and biopsy confirmed a poorly differentiated squamous cell carcinoma of the nasopharyngeal. From September to November of the same year, cobalt-60 fractionated radiotherapy was performed at the Cancer Hospital of Sun Yat-Sen Medical College. The amount of nasopharyngeal tissue was 6432 rads after both wild and prenasal fields. Follow-up after radiotherapy for 11 years and 6 months without recurrence. By March 1983, the patient began to have a left nasal obstruction, with bloodshot septa and impaired sense of smell. In August of the same year, mild anemia had occurred (RBC 3.16 million/mm~3, Hb8g%). VCA-IgA1:40. Physical examination revealed that the left nasal dorsum rose, the left nasal cavity was blocked by a tumor, and it protruded to the nasopharyngeal cavity. The surface was filthy and smelly. The septum was significantly pressed to the right by the tumor. There was no swelling of the cervical lymph nodes. Paranasal sinuses Water’s position and Caldwell’s radiograph showing left nasal cavity occupying