9666例鼻咽喉部肿瘤病理分析

目的 了解鼻、咽、喉肿瘤发病的年龄、性别、部位及与病理类型的关系。方法 对华西医院病理科在1984～1999年间全部经病理诊断的9666例鼻、咽、喉肿瘤组织学类型的构成进行分析。结果 ①良、恶性肿瘤之比为1：8．6，在鼻咽部为1：62．0；②良性肿瘤21种，以乳头状瘤、血管纤维瘤和血管瘤多见；③恶性肿瘤25种，癌和肉瘤之比为11．98：1，以分化型非角化鳞状细胞癌最多见；④恶性肿瘤患者的发病年龄较良性肿瘤者约长10岁，且男性患者多于女性；⑤良性肿瘤以口咽鳞状上皮乳头状瘤最常见；恶性肿瘤以鼻咽癌为主，肉瘤以鼻腔淋巴瘤最常见。结论 鼻、咽、喉肿瘤的发病年龄、性别和部位与肿瘤的组织病理类型有一定关系。

A pathologic analysis on 9,666 cases of tumors of nose, pharynx and throat]

OBJECTIVE: To analyze nasal, pharyngeal and laryngeal tumor patients age, sex and tumors' sites, to find out the relationship of above indices and tumor's pathologic types. METHODS: 9,666 cases of tumors on nose, pharynx and throat diagnosed in West-China Hospital in 1984 to 1999 were analyzed for the constitution of histological type. RESULTS: 1. the ratio of benign and malignant tumor is 1:8.6, it is 1:62.0 in nasalpharynx; 2. papilloma, angiofibroma and angioma are more commonly seen in all 21 kinds of benign tumors; 3. differentiated squamous cell carcinoma, non-keratinized is the most common types in 25 kinds of malignant tumors, the ratio of carcinoma and sarcoma is 11.98 to 1; 4. The average age of patients with malignancy is about 10 years older than that of the patients with benign tumors, and malignant patients are male predominant; 5. squamous cell papilloma of oralpharynx was the most common in all benign tumors; nasopharyngeal carcinoma is the most common in all malignancies, nasal lymphomas are the most common seen sarcoma. CONCLUSION: The histologic types of nasal, pharyngeal and laryngeal tumors are related with patients' age, sex and sites of tumors.