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目的探讨鼻咽癌治疗后颈部转移癌复发漏诊误诊原因,提高早期诊断率。方法对39例病理证实为鼻咽癌治疗后颈部转移癌复发漏诊误诊病例进行回顾性分析。结果 39例患者,彩超诊断复发8例;32例患者行MRI检查,诊断复发17例;39例行细针穿刺,诊断复发17例。结论鼻咽癌治疗后颈部淋巴癌复发存在不典型病例,在诊过程中,需倍加注意;必要时可行诊断性手术以明确诊断。
Objective To investigate the causes of misdiagnosis of misdiagnosis and recurrence of metastatic carcinoma of the neck after nasopharyngeal carcinoma and to improve the early diagnosis rate. Methods Retrospective analysis of 39 cases of pathologically confirmed misdiagnosis of misdiagnosis of recurrence and metastasis of cervical metastasis after nasopharyngeal carcinoma was performed. Results Of the 39 patients, 8 cases were diagnosed by color Doppler ultrasonography, 17 cases were diagnosed by MRI in 32 cases, and fine needle aspiration was performed in 39 cases. Conclusion There are atypical cases of recurrent neck lymphoma after the treatment of nasopharyngeal carcinoma. During the course of the diagnosis, it is necessary to pay more attention to it. If necessary, it is feasible to diagnose the disease by diagnosis.