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鼻咽癌(NPC)原发部位深而隐蔽,早期缺乏明显症状与体征,且易发生颅内转移,产生多种明显眼症,易误为眼科疾病,发生漏诊而延误治疗时机。本文6例,男5例,女1例,年龄31～65岁。患侧均有不周程度视力下降,下降幅度为4.0～4.5,不能矫正。内斜视4例,复视3例,眼眶肿物1例,Horner氏征2例。6例均伴有一侧性头痛。2例有较轻微低音性耳鸣,4例无耳鸣。均无鼻塞症状,2例有少许陈旧性涕血。仅1例触及颈深上组淋巴结花生米大小。误诊为球后视神经炎、痛性眼肌麻痹综合征、眶上裂综合征、眶内假瘤。3周～6个月后均经中山医科大学肿瘤医院检查确诊。鼻咽部
The primary site of nasopharyngeal carcinoma (NPC) is deep and subtle, lacking obvious symptoms and signs in the early stage, and it is prone to intracranial metastasis, resulting in a variety of obvious eye diseases. It is easy to mistaken for ophthalmologic diseases, missed diagnosis and delayed treatment time. This article 6 cases, 5 males and 1 female, aged 31 to 65 years old. The affected side had poor visual acuity, with a range of 4.0 to 4.5, which could not be corrected. Esotropia occurred in 4 cases, diplopia in 3 cases, orbital mass in 1 case, and Horner’s sign in 2 cases. All 6 cases were accompanied by one-sided headache. Two cases had mild bass tinnitus and 4 cases had no tinnitus. No symptoms of nasal congestion were observed. In 2 cases, there was a little old blood stasis. Only 1 case touched on the neck of the upper group of lymph nodes peanut size. Misdiagnosed as posterior optic neuritis, painful ophthalmoplegia syndrome, superior orbital fissure syndrome, orbital pseudotumor. After 3 weeks to 6 months, they were diagnosed by the Cancer Hospital of Sun Yat-sen University of Medical Sciences. Nasopharyngeal