鼻咽癌复发及鼻内镜外科手术的应用

姜彦

Recurrence of nasopharyngeal carcinoma and application of endoscopic surgery

Yan JIANG

图9 患者，女，58岁，2015年3月鼻咽癌根治性放疗；2015年6月鼻咽部复发后化疗，未行手术治疗(A-B)，2015年8月复查病灶控制(C-D)，2015年10月复查鼻咽部病灶进展，未再行任何处理(E-F)，2017年4月鼻出血经鼻腔填塞保守治疗后出血停止(G-H)，2017年8月开始反复多次小量鼻出血(I-J)，2017年9月30日再次鼻出血并失血性休克急诊入院，检查发现左侧鼻咽部大面积溃烂，MR显示鼻咽部病灶侵蚀左侧颈内动脉管(K-M)，急诊行颈内动脉栓塞治疗，2017年10月2日再次大出血死亡。

Fig.9 A 58-year-old woman underwent radical radiotherapy for nasopharyngeal carcinoma in March 2015, and accepted chemotherapy after recurrence of nasopharyngeal resection in June 2015 without surgical treatment A-B. Lesion is controlled; C-D. August 2015; E-F. Lesion progresses in October 2015; G-H. In April 2017, nasal bleeding is controlled after conservative treatment. In August 2017, small repeated nosebleeds begin; I-J. On September 30, 2017, another episode of hemorrhage and hemorrhagic shock leads to hospital admission; K-M. The examination reveals a large area of ulceration of the left nasopharynx; The magnetic resonance image shows that the nasopharyngeal lesion eroded the left internal carotid artery. In the emergency department, internal carotid artery embolization was performed. On October 2, 2017, the patient died of hemorrhage.