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2010•Shandong Daxue er-bi-hou-yan xuebaoRequires access

Analysis of clinical presentation and misdiagnosis in patients with nasopharyngeal carcinoma

Qian Xiao-fei, Chen Jian-liang

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Abstract

Objective To investigate the clinical presentation and misdiagnostic causes of nasopharyngeal carcinoma(NPC).Methods The data of 82 cases of nasopharyngeal carcinoma treated from November 2002 to November 2009 were analyzed.Results The clinical presentation included epistaxis,nasal obstruction,tinnitus,hearing loss,headache,mass of neck,cranial nerve involvement and Horner′s syndrome.The positive rate of EBV-VCA-IgA was 93.90%.At the time of initial diagnosis,the rate of misdiagnosis was 67.07% for all cases.Conclusion The clinical presentation of NPC is complex,and so NPC is prone to be misdiagnosed.It is necessary for a patient with any of these symptoms to receive careful examination for the ear,nasopharynx and nose.

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What this paper is about

Objective To investigate the clinical presentation and misdiagnostic causes of nasopharyngeal carcinoma(NPC).Methods The data of 82 cases of nasopharyngeal carcinoma treated from November 2002 to November 2009 were analyzed.Results The clinical presentation included epistaxis,nasal obstruction,tinnitus,hearing loss,headache,mass of neck,cranial nerve involvement and Horner′s syndrome.The positive rate of EBV-VCA-IgA was 93.90%.At the time of initial diagnosis,the rate of misdiagnosis was 67.07% for all cases.Conclusion The clinical presentation of NPC is complex,and so NPC is prone to be misdiagnosed.It is necessary for a patient with any of these symptoms to receive careful examination for the ear,nasopharynx and nose.

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Available abstract

Objective To investigate the clinical presentation and misdiagnostic causes of nasopharyngeal carcinoma(NPC).Methods The data of 82 cases of nasopharyngeal carcinoma treated from November 2002 to November 2009 were analyzed.Results The clinical presentation included epistaxis,nasal obstruction,tinnitus,hearing loss,headache,mass of neck,cranial nerve involvement and Horner′s syndrome.The positive rate of EBV-VCA-IgA was 93.90%.At the time of initial diagnosis,the rate of misdiagnosis was 67.07% for all cases.Conclusion The clinical presentation of NPC is complex,and so NPC is prone to be misdiagnosed.It is necessary for a patient with any of these symptoms to receive careful examination for the ear,nasopharynx and nose.

Key concepts: Medicine, Nasopharyngeal carcinoma, Presentation (obstetrics), Nose, Tinnitus, Neck mass, Carcinoma, Surgery

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