论文部分内容阅读
患者女,61岁。突然出现右面颈皮肤痒“数日后皮肤红肿肥厚渐渐扩展,已11个月。但发病以来无发热、鼻塞、涕血、耳鸣、头痛及其他不适。5个月前曾作右颈皮肤病理切片,报告为皮肤转移性低分化鳞癌伴淋巴管,血管癌栓。VCA-IgA抗体1:10阳性,疑为鼻咽癌,X线鼻咽侧位和颅底片均正常,多次鼻咽窥镜和鼻咽活检阴性。一个月前局部皮肤~(?)Co放射治疗,皮肤肥厚略有减轻,但红肿范围继续扩大。中止放射治疗2周后,右侧的面颊部、颏下、颌下、上
Female patient, 61 years old. Sudden appearance of right-sided neck itch "Skin swelling and hypertrophy gradually expanded in a few days, has been 11 months. However, since the onset of fever, nasal congestion, blood stasis, tinnitus, headache and other discomfort. 5 months ago for the right neck skin pathological section, Reported metastatic poorly differentiated squamous cell carcinoma with lymphatic vessels and vascular tumor thrombus. VCA-IgA antibody 1:10 positive, suspected nasopharyngeal carcinoma, X-ray nasopharyngeal lateral and skull base films were normal, multiple nasopharyngeal endoscope In the case of a negative nasopharyngeal biopsy, local skin radiotherapy of ~(?)Co one month earlier showed a slight reduction in skin hypertrophy, but the redness range continued to widen. After 2 weeks of radiation therapy, the right cheek, underarm, and submandibular, on