Sunday, February 17, 2008

Common clinical symptoms NPC

NPC location concealment, with eyes, ears, nose and throat, bone and skull base neurosurgery, and other vital organs adjacent is easy in the submucosal invasion to adjacent organs or lymph node metastases directly to the biological behavior, so many symptoms change or not obvious, often by the patient or physician negligence. Many patients often first medicine, surgery, neurology, ophthalmology doctor After many twists and turns before the ENT or radiotherapy Branch diagnosis and treatment. As early nasopharyngeal carcinoma tumor tiny, with the mucosal surface or submucosal invasion, tumor eustachian tube openings not involved, it can have no symptoms. Early symptoms of nasopharyngeal carcinoma retraction of blood T to the most, followed by hearing loss, tinnitus, such as occlusion in the ear.
NPC common clinical symptoms are: (1) cervical lymphadenopathy: patients with nasopharyngeal carcinoma to cervical lymphadenopathy as the first symptom of 36.5%, when treating cervical lymph node metastasis of 70.6 percent.
(2) retraction of blood T or epistaxis: retraction of blood T often get up in the morning after I blood from the nose, with little blood, patients often neglect, or as to the medical hemoptysis pulmonary Branch or attendance. As nasopharyngeal cavity relatively brittle tumor angiogenesis, tumor appearance mucosa often not covered, it is easy to blood T symptoms. Retraction of blood T is one of the early symptoms of nasopharyngeal carcinoma, patients and physicians should arouse attention.
(3) tinnitus, hearing loss, ear occlusion flu: nasopharyngeal carcinoma occurred in nasopharyngeal lateral, or side Waterloo eustachian tube orifice upper lip, tumor compression of the eustachian tube can occur unilateral tinnitus or hearing loss, but also He otitis media occur cards. Unilateral tinnitus or hearing loss, ear occlusion flu is one of the early symptoms of nasopharyngeal carcinoma.
(4) headache: headache often migraine side in the Department of the amount, temporal or occipital. Light therapy who do not have a headache, weight will be required to serve analgesics, painkillers or even injection needle. There are many reasons for headaches, but brain damage or destruction of the skull base is often a headache one of the reasons. The headache may be advanced nasopharyngeal carcinoma trigeminal nerve is the first one peripheral nerve stimulation in the epidural reflex caused by the Department.
(5) nasal obstruction: nasopharyngeal carcinoma occurs in the nasopharynx top anterior, posterior nasal cavity very easily violations, violations of nasopharyngeal carcinoma CT scan nasal 42.9%. Treatment with nasal symptoms of 48.6 percent.
(6) - MA: that the facial skin numbness, pain and clinical examination for tactile diminish or disappear. Often invasive tumors arising from the trigeminal nerve cavernous No. 1 or No. 2 impaired tumor invasion foramen ovale, before the styloid process, the trigeminal nerve from the first three regular front of the auricle, temporal, cheek, lower lip and chin skin feeling numbness or abnormal.
(7) diplopia: As nerve tumor invasion outreach, often depending on the field caused a double shadow. Pulley nerve involvement, often caused inward strabismus, diplopia. While often associated with trigeminal nerve damage.
(8) muscle atrophy and skewed: NPC direct violation of lymph node metastasis to the styloid process, or after the district or hypoglossal canal, the hypoglossal nerve involvement, the disease caused preferred side, with side muscle disease atrophy. If bilateral hypoglossal nerve damage will be caused difficulties.deflection rate second only to surface anesthesia, diplopia.
(9) blepharoptosis, eyeball fixed: with oculomotor nerve damage. Visual acuity decreased or disappeared and optic nerve damage or orbital cone assault. Qinge and dysphagia and vagus nerve, the glossopharyngeal nerve damage.
(10) menopause: NPC first symptom as a very rare, and nasopharyngeal carcinoma, and invasive transsphenoidal pituitary related.

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