不同病理类型鼻咽癌的颅神经侵犯与颅底骨质破坏——附257例分析THE cRANIAL NERVES PARALYSIS AND THE BONE EROSION IN DIFFERENT PATHOLOGICAL TYPES~ OF NASOPHARYNGEAL CARCINOMA
卢泰祺
Lu Taiqi Dep.of Cancer
摘要(Abstract):
本文报导鼻咽癌颅神经侵犯及(或)颅底骨质破坏257例,在不同年龄组中,30岁以下鼻咽癌颅神经侵犯及颅底骨质破坏发生率较高。同时有颅神经侵犯及颅底骨质破坏者以高分化类发生率最高(26.4%);低分化类次之(22.2%);未分化类较少(15.3%)。单有颅神经侵犯的占收治鼻咽癌518例的17.2%,单有颅底骨质破坏的占10.2%。有颅底骨质破坏的168例中伴颅神经侵犯115例(68.4%)。有前组颅神经侵犯时颅底骨质破坏发生率较高。但统计学处理各组间差异无显著意义。
Nasopharyngeal carcinoma(NPC)in257 cases with the cranial nerves para- lysis(CNP)and/or the bone erosion of the base of the skull(BEBS)are reported.The incidences of CNP and BEBS were higher in the younger group than in the elder.These cases with CNP and BEBS accounted for 26.4% in the high differentiated type;22.4% in the low differentiated type and 15.3% in the undifferentiated type.Patients only with BEBS represented 10.2%.Among the 168 cases of BEBS,there were 1t5 cases found with CNP (68.4%).When patients with the front group CNP,the bone erosion of the base of the skull was found more frequent.The incidence of cases with CNP and/or BEBS in various pathologic types of high,low and undifferentiated NPC was 55.2%,49.6%,43.6% respectively,but there was no significant difference found(P>0.05)
关键词(KeyWords):
颅神经侵犯;颅底骨质破坏;鼻咽癌
Cranial nerves paralysis(CNP);Bone erosion of the base of the skull(BEBS);Nasopharyngeal carcinoma (NPC)
基金项目(Foundation):
作者(Author):
卢泰祺
Lu Taiqi Dep.of Cancer
DOI: 10.19367/j.cnki.1000-2707.1986.01.014
参考文献(References):
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- 2. 中山医学院肿瘤医院放射科等.鼻咽癌颅底骨质照片研究(Ⅱ)-附1463例鼻咽癌颅底骨质照片分析.中华肿 瘤杂志 1979;1:129~134.
- 3. 曾幼鲁等.有关鼻咽癌颅底骨质破坏的一些问题。天津医药杂志 肿瘤副刊 1964;2:129.
- 4. Liang P C.The histopathologic classification,biologic characteristic and histogenesis of nasopharyngeal carcinoma.Chinese Med J 1962;81:630.
文章评论(Comment):
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- 颅神经侵犯
- 颅底骨质破坏
- 鼻咽癌
Cranial nerves paralysis(CNP) - Bone erosion of the base of the skull(BEBS)
- Nasopharyngeal carcinoma (NPC)