The First Affiliated Hospital of Hunan Normal University（People’s Hospital of Hunan Province）
摘要：目的 探讨儿童、青少年鼻咽癌的临床诊治经验。方法 回顾性分析2例年轻鼻咽癌患者的病例资料，并结合文献进行复习，进而对该类患者发病的临床特点、诊断与治疗进行讨论。结果 本文2例患者在初诊时易被误诊,诊治过程中因其疾病特点与常见疾病不相符，与鼻咽癌特点相似，怀疑鼻咽癌，行鼻咽部活检，最后病理报告均证实为NPC，确诊后行放疗为主的综合治疗。结论 年轻鼻咽癌患者在临床上少见，发展快，初诊时易误诊，对这类患者早期准确诊断，临床医生除考虑常见病的诊断，还需警惕鼻咽癌可能，做到早发现、早诊断、早治疗，提高患者的生存率。
Abstract: Objective To explore the clinical experience of diagnosis and treatment of nasopharyngeal carcinoma in children and adolescents.Methods The clinical data of 2 young patients with nasopharyngeal carcinoma were retrospectively analyzed, and the clinical characteristics, diagnosis and treatment of these patients were discussed.Results In this paper, 2 patients were prone to misdiagnosis at initial diagnosis. During diagnosis and treatment, nasopharyngeal carcinoma was suspected because their disease characteristics were inconsistent with common diseases and similar to nasopharyngeal cancer, nasopharyngeal biopsy was performed. Finally, the pathological report confirmed NPC,After diagnosis, they were given comprehensive treatment based on radiotherapy. Conclusions Young patients with nasopharyngeal cancer are rare and develop rapidly in clinical practice, and it is easy to be misdiagnosed at initial diagnosis. In addition to considering the diagnosis of common diseases, clinicians should also be alert to the possibility of nasopharyngeal cancer, so as to achieve early detection, early diagnosis and early treatment, and improve the survival rate of patients.