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鼻咽癌(NPC)远处转移率高,以骨、肺、肝为多见,本文主要讨论NPC的远处骨转移 临床资料 1973-1979年共收治1696例NPC患者(均经病理确诊),其中诊断明确有远处骨转移并随访至患者死亡的77例。男64例,女13例,男:女=4.92:1,平均年龄43岁,TNM分期:Ⅱ期23例(29.9％),Ⅲ期42例(54.5％),Ⅳ期12例(15.6％)。病理诊断为低分化鳞癌61例,泡状核细胞癌13例,未分化癌3例,77例中胸椎转移12例,腰椎转移22例,肋骨转移9例,肩胛骨转移1例,锁骨转移6例,髂骨转移4例,耻
The distant metastasis rate of nasopharyngeal carcinoma (NPC) is high, with bone, lung, and liver being the most common. This article mainly discusses the clinical data of distant bone metastasis of NPC. A total of 1696 NPC patients (all confirmed by pathology) were admitted from 1973 to 1979. Among them, 77 cases were clearly diagnosed with distant bone metastases and were followed up until the death of the patient. There were 64 males and 13 females, male: female = 4.92:1, mean age 43 years, TNM staging: 23 cases (29.9%) in stage II, 42 cases (54.5%) in stage III, and 12 cases (15.6%) in stage IV. . The pathological diagnosis included 61 cases of poorly differentiated squamous cell carcinoma, 13 cases of vesicular nucleus cell carcinoma, 3 cases of undifferentiated carcinoma, 77 cases of metastatic thoracic spine in 12 cases, 22 cases of lumbar metastases, 9 cases of rib metastases, 1 case of scapular bone metastases, and clavicular metastasis 6 Cases, metatarsal metastases in 4 cases, shame