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鼻咽癌在世界许多国家和地区均有发生,但我国的南方,如广东、广西、湖南等省,特别是广东中部和西部(肇庆、佛山)为高发区[1]。本文收集经病理证实351例鼻咽癌患者CT检查资料分析,旨在进一步加深对鼻咽癌的CT表现认识,明确肿瘤周围组织侵犯情况,指导临床分期及治疗。1资料与方法1.1一般资料收集2004年1月至2009年1月在我院行CT检查的鼻咽癌患者351例,其中男238例,女113例;年龄20～75岁,中位年龄48岁。主要临床症状为无痛性颈部淋巴结肿大271例,头痛123例,耳鸣156例,涕中带血259例,上睑下垂和面部麻木11例,复视9例,腰部疼痛5例,腹部不适3例,颜面部肿块8例,咳嗽23例。所有病例均经病理证实。1.2方法使用德国西门子欢悦单排螺旋CT机。常规轴位
Nasopharyngeal carcinoma occurs in many countries and regions in the world. However, southern China, such as Guangdong, Guangxi and Hunan provinces, especially in central and western Guangdong (Zhaoqing and Foshan) are high incidence areas. This collection of pathologically confirmed 351 cases of nasopharyngeal carcinoma in patients with CT examination data analysis to further deepen the understanding of the CT findings of nasopharyngeal carcinoma, clear tumor surrounding tissue invasion, clinical stage and treatment. 1 Materials and Methods 1.1 General Information Collection From January 2004 to January 2009 351 cases of nasopharyngeal carcinoma underwent CT examination in our hospital, including 238 males and 113 females; aged 20 to 75 years, median age 48 year old. The main clinical symptoms were painless neck lymph node enlargement in 271 cases, headache in 123 cases, 156 cases of tinnitus, 259 cases of bloody runny nose, ptosis and facial numbness in 11 cases, diplopia in 9 cases, 5 cases of lumbar pain, abdominal 3 cases of discomfort, facial facial mass in 8 cases, 23 cases of cough. All cases were pathologically confirmed. 1.2 method using the German Siemens joy single row spiral CT machine. Conventional shaft