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患者,男,60岁。因左侧头痛1年,加重伴左鼻腔出血2月,于1992年8月17日来我院就诊。体检见左侧鼻咽部咽隐窝处有一新生物约0.3cm×0.3cm,咽鼓管咽口周围轻度水肿,双耳无明显异常,颈部淋巴结未扪及,患者既往无慢性中耳炎史。左侧鼻咽部新生物病检为低分化鳞癌,行鼻咽部、颅底 CT 检查,发现鼻咽肿物侵犯蝶窦并骨质破坏,行根治性放疗,放疗结束后觉左耳听力下降,经听力检查为左耳重度神经性聋,复查 CT 示肿物缩小,出院后复查,见鼻咽部粘膜干燥、光滑,有时有痂皮附着,未见新生物。1996年2月开始患者左耳间歇流脓伴有血丝,同时觉左侧面部不适,左眼干燥无泪,颈部未扪及包块,左侧面部周围性面瘫,鼻咽部粘膜光滑,未见明显新生物,左侧咽鼓管咽口处粘膜充血肿胀但表面光
Patient, male, 60 years old. 1 year due to left headache, aggravated with left nasal bleeding in February, in August 17, 1992 came to our hospital. Physical examination see the left nasopharyngeal crypts at a new biological about 0.3cm × 0.3cm, mild edema around the pharyngeal orifice of the eustachian tube, no obvious anomalies in both ears, neck lymph nodes not palpable, the patient had no history of chronic otitis media . Left nasopharyngeal neoplasm disease is poorly differentiated squamous cell carcinoma, nasopharynx, skull base CT examination, found that nasopharyngeal tumor invasion of sphenoid sinus bone destruction, radical radiotherapy, left ear hearing after radiotherapy Decreased by hearing tests for the left ear severe neurological deafness, review CT showed tumor shrinkage, discharge after the review, see the nasopharyngeal mucosa dry, smooth, sometimes with the scab attached, no new organisms. February 1996 began intermittent left ear pus with bloodshot eyes, while feeling left facial discomfort, left eye dry and no tears, neck palpable mass, facial paralysis on the left facial, nasopharyngeal mucosa smooth, not See obvious new creatures, left eustachian tube mucosa swollen mucosal swelling but the surface light