鼻咽癌的早期诊断甚为重要。中山医学院近期报告,Ⅰ～Ⅳ期鼻咽癌的5年生存率分别为76.9%、56%、38.4%及16.4%,可见病期早晚生存率有显著差异。现根据我院鼻咽癌的一般资料,并结合文献试谈一下鼻咽癌的早期诊断问题,以期引起重视。临床资料1958～1977年,我院共收治83例鼻咽癌患者。入院时一侧颈淋巴结肿大者40例,两侧肿大者13例,有颅神经症状或颅底骨质破坏者18例,以上共71例(占87%);而病变只限于鼻咽部者仅12例(占13%)。为什么鼻咽癌患者入院时大多数病变已为Ⅲ、Ⅳ期呢?我们考虑有以下几个原因: The early diagnosis of nasopharyngeal cancer is very important. The recent report of Zhongshan Medical College reported that the 5-year survival rates of stage I-IV nasopharyngeal carcinoma were 76.9%, 56%, 38.4%, and 16.4%, respectively, showing a significant difference in the early-to-late survival rate of the disease stage. According to the general data of nasopharyngeal carcinoma in our hospital, and combined with the literature to discuss the early diagnosis of nasopharyngeal cancer, in order to attract attention. Clinical data From 1958 to 1977, 83 patients with nasopharyngeal carcinoma were treated in our hospital. At the time of admission, there were 40 cases of cervical lymphadenopathy on one side, 13 cases of swelling on both sides, and 18 cases of cranial nerve symptoms or skull base destruction. There were 71 cases (87%) of the above, and the lesions were limited to the nasopharyngeal Only 12 patients (13%). Why are most of the lesions of patients with nasopharyngeal carcinoma already at stage III and IV? We consider the following reasons: