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目的 :探讨鼻咽癌首发症状误诊原因。方法 :对经病理活检证实因首发症状而误诊的鼻咽癌 2 6例进行分析。结果 :2 6例中误诊为卡他性中耳炎 1 5例 ,颈淋巴结炎 7例 ,三叉神经痛 3例 ,慢性咽炎 1例。结论 :因发病部位隐蔽 ,检查困难 ,病灶不易发现 ,早期症状不明显 ,未仔细询问病史 ,或有鼻咽癌首发症状 ,但未作仔细检查而误诊。需大力开展卫生宣教 ,以能早发现 ,早治疗。
Objective: To investigate the causes of misdiagnosis of the first symptom of nasopharyngeal carcinoma. Methods: Twenty-six cases of nasopharyngeal carcinoma, which were misdiagnosed due to the first symptom confirmed by pathological biopsy, were analyzed. Results: 26 cases were misdiagnosed as catarrhal otitis media in 15 cases, 7 cases of cervical lymphadenitis, trigeminal neuralgia in 3 cases, 1 case of chronic pharyngitis. Conclusion: Because of the hidden parts of the disease, the examination is difficult, the lesion is not easy to find, the early symptoms are not obvious, without careful inquiry history, or the first symptom of nasopharyngeal carcinoma, but without careful examination and misdiagnosis. Health education needs to be vigorously carried out to early detection and early treatment.