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口咽部及咽旁的某些肿瘤,早期可因无特异性的临床表现,而易误诊为扁桃体周围脓肿、慢性扁桃体炎等感染性的疾病。本人就曾主管过两例这种病人(一例为扁桃体的恶性淋巴瘤、一例为咽旁的混合瘤)均被误诊为扁桃体周围脓肿。现报告及分析误诊原因,并探讨减少误诊的措施,以期临床医生以此为鉴,吸取经验教训。
Some tumors of the oropharynx and parapharynx may be misdiagnosed as infectious diseases such as peritonsillar abscess and chronic tonsillitis in the early stage due to nonspecific clinical manifestations. I have been in charge of two cases of this patient (one case of tonsillar lymphoma, one case of mixed parapharyngeal tumor) were misdiagnosed as tonsil abscess. Now report and analyze the causes of misdiagnosis, and to explore ways to reduce misdiagnosis, with a view to clinicians to learn from this experience.