鼻咽癌58例误诊分析

目的 :探讨鼻咽癌误诊的原因 ,以达到减少误诊 ,提高早期诊断率 ,改善疗效。方法 :对 131例确诊鼻咽癌患者作回顾性分析 ,了解引起误诊的原因。结果 :131例确诊患者中误诊 5 8例 ,占 4 4 3% ,科室涉及内科 ,眼科 ,外科 ,神经内科 ,耳鼻喉科 ,全科医生。结论 :鼻咽癌早期症状不典型 ,解剖位置隐蔽 ,粘膜下型活检时不易取到肿瘤组织 ,有的医生缺乏对本病的认识 ,鼻咽癌普查的缺乏 ,也是导致误诊的主要原因。

Analysis of Misdiagnosis in 58 Cases of Nasopharyngeal Carcinoma

Objective:To study the cause of nasopharyngeal carcinoma,and to reduce the misdiagnosis rate,increase the correct diagnosis rate in early stage and improve its curative effect.Method:To investigate the cause of misdiagnosis,131 cases of nasopharyngeal carcinoma were analyzed retrospectively.Result:In 131 cases of nasopharyngeal carcinoma,including 58 cases misdiagnosed and the misdiagnosis rate was 44.3%,and involved internal medicine Department,Ophthalmologic Department,Surgical Department,Neurological Department,ENT Department,and general practitioner.Conclusion:The main causes of misdiagnosis of nasopharyngeal carcinoma wase as follows:typical primary symptoms,recessive anatomical site,and for sub-mucous type,and difficult to get tumor tissues by biopsy.Moreover,insufficient understanding of this disease and without efficient screen test also results in misdiagnosis.