Nasopharyngeal tuberculosis

Rhinopharyngeal tuberculosis is a rare pathological condition. It is most often associated with lymph node and pulmonary lesions, but it may be an isolated finding. The authors report a recent case of an isolated rhinopharyngeal tuberculosis in a 64-year-old female. A review of the literature is presented. They emphasize the clinical presentation, that, in all aspects, may resemble a malignant tumour of the nasopharynx, as well as the difficulty of obtaining a pathological and bacteriological diagnosis.     

Nasopharyngeal tuberculosis

Nasopharyngeal tuberculosis is increasingly frequent and poses a diagnostic and therapeutic problem. Through a retrospective study spread out over 4 years, we brought back six cases of nasopharyngeal tuberculosis, including two men and four women of an average age of 41 years. The diagnosis was made, for all of our patients, after histologic study when we found typical tuberculosis lesions on biopsy specimens. The diagnosis of tuberculosis was established; all patients had an antituberculosis medical treatment in a department of infectious diseases. In all cases, the long-term evolution was favourable, with an average passing of 11 months.     

Nasopharyngeal tuberculosis.

Isolated nasopharyngeal tuberculosis is a rare disease with very few cases having been reported in recent years. We report a case presenting in the United Kingdom with unilateral otalgia and otorrhoea.     

鼻咽结核22例报告

报告鼻咽结核22例，5例合并肺结核，16例合并颈淋巴结核。临床诊断注意与鼻咽癌鉴别。颈淋巴结FNA细胞学检查与PCR检测有助于诊断，确诊需病理学检查。全身抗痨治疗，同时应用5％链霉素局部灌洗，可显著提高疗效，缩短病程。对合并巨大的或全身用药不敏感的结核性颈淋巴结炎采取手术切除效果良好。     

鼻咽结核1例并文献复习

目的分析鼻咽结核的临床特点及诊治要点。方法回顾性分析经病理确诊的鼻咽结核1例,并结合相关文献复习。结果患者以颈部无痛性包块为首发症状,经鼻咽部活检、组织病理学检查确诊。通过检索中国知网、万方以及Pubmed数据库中有关鼻咽结核的文献,共检索有关文献32篇,包含患者共194例。结论鼻咽结核临床表现缺乏特异性,易漏诊误诊,临床医生要提高认识,在诊治颈部包块时,应考虑鼻咽结核的可能,尽早反复送病理检查,从而明确诊断。     

鼻咽结核12例临床分析

目的 :提高临床上对鼻咽结核的认识。方法 :对 12例鼻咽结核进行回顾性分析 ,总结其临床特征。仅 1例有肺部结核史 (8.3% ) ,9例以颈部包块为首发临床表现 (83.3% ) ,9例初诊时误诊为鼻咽部恶性肿瘤(75 .0 % )。结果 :全部病例经正规抗结核药物治疗后痊愈。经 6个月～ 2年随访无复发。结论 :鼻咽结核更常见的可能是一种单独发生的上呼吸道结核病变 ,并可引起颈淋巴结肿大。颈淋巴结肿大时要注意排除鼻咽结核并与鼻咽部恶性肿瘤相鉴别。抗结核药治疗是鼻咽结核的有效治疗方法     

Nasopharyngeal carcinoma coexistent with lymph node tuberculosis, diagnostic difficulties--case report

Nasopharyngeal carcinoma occurs about 0.25-0.5% all malignancies in Poland. From the mids of a group more frequent are undifferentiated cancer (about 70%). The authors describe a case of undifferentiated nasopharyngeal cancer in 17-years old woman, which is connected with lymphonodular tuberculosis. They point to precise diagnostics of lymphonodular metastases, looking for primary carcinoma focus and difficulties in diagnosis.     

Nasopharyngeal angiofibroma

OBJECTIVE: To study the clinical profile of nasopharyngeal angiofibromas, various surgical approaches, and the outcome of surgery. DESIGN: The retrospective study was carried out in 110 consecutive cases of nasopharyngeal angiofibroma over a period of 25 years. SETTING: A hospital-based study. Methods: In 65 patients, a transpalatal approach was used, and in 38 patients, a lateral rhinotomy approach was used. The tumour was removed by external ethmoidectomy in 2 cases and in by transnasal approach in 3 cases. A modification of the transpalatal approach was also designed. MAIN OUTCOME MEASURES: Patients were regularly followed up for any recurrence for 2 to 5 years. RESULTS: Of 118 operated cases, in 33 patients, recurrence was observed. Four cases had to be operated three times and one case four times. All of the recurrences were observed within 2 years. CONCLUSIONS: Angiofibroma, a disease of adolescent males, arises from either the lateral wall or the roof of the nasopharynx. Patients usually present at the late stage of the disease. Surgery is the treatment of choice. No single approach is applicable to all cases. However, most of the tumours are excisable by a lateral rhinotomy approach, with less chance of recurrence. The modified transpalatal approach provides excellent exposure. Recurrence occurs within 2 years.     

Nasopharyngeal obstruction

The causes of nasopharyngeal obstruction are described. The diagnosis and treatment of each type of nasopharyngeal obstruction are presented in detail.