Maybe you think the rich bag may be cancer!Her 60th birthday has experienced life and death robbery

Ms. Li (pseudonym) never thought

His 60 -year -old longevity

Become "Life and Death"

A little swollen bag on the neck

One check is nasopharynx carcinoma

And also a lymph node transfer

Look at the beginning of the few words

Hot summer

You have eaten countless crayfish and barbecue

Will you immediately stun your neck to see if there is any raised?

But don't scare yourself first

First Affiliated Hospital of Zhejiang University School of Medicine

Director Zhou Shuihong, Director of ENT Department, specially called for

The masses on the neck must not be underestimated

If necessary, the nasopharyngeal examination must be done!

I mistakenly thought it was a "wealthy bag", and the cancer metastasis was found after the 60 -year -old life

Ms. Li in Hangzhou is dressed brightly and has always been at the forefront of the trend. Singing, climbing, depending on driving, self -driving tour, surfing the Internet ... The financial conditions at home are good. Bringing grandson, and her husband, the life is colorful.

Two years ago, when Ms. Li was washing her face, she accidentally found that there was a peanut -sized lump on the right side of the right neck. There was no obvious pain and discomfort. "".

This year is Ms. Li's 60 -year -old life. During the meeting, Ms. Li showed everyone the BlingBling big earrings sent by her son. While praising the earrings, she also found the mass on her right neck. I do n’t know if I do n’t observe it carefully. The lump on Ms. Li has grown from “peanut rice” to the size of “red dates”.

Even at this time, Ms. Li still didn't rest assured. She thought she was just a "rich bag", but her son felt that Ms. Li became more and more thinner in the past six months, and this mass seemed to be with the skin on the neck or inside. The deep organization "sticky" is firm, and it is necessary to go to the hospital for examination in time.

Only then did Ms. Li began to pay attention to this lump. Need treatment.

"How come!" Seeing Ms. Li's neck on this unknown "big guy", Director Zhou sank in his heart, and immediately felt that the mass was not "good". In Director Zhou's outpatient clinic, he could not count how many times he couldn't count. In patients with symptoms like Ms. Li, because 60 ~ 70%of patients with nasopharyngeal carcinoma first experienced the first cervical lymph node metastasis. Under the endoscope, Director Zhou Shuihong found a new creature in Ms. Li's nasopharynx. When he asked, he knew that Ms. Li had symptoms of nasal congestion and nose.

After a series of examinations such as blood drawing, nasopharynx CT, and nasopharyngeal biopsy, the results of the pathological tissue test confirmed the conjecture of Director Zhou Shuihong- "Nasopharyngeal non -keratinized cancer", and lymph node metastasis has occurred. treat.

Subsequently, Ms. Li transferred to the radiotherapy department of the First Hospital of Zhejiang University for individual radiotherapy treatment, which is still under further treatment.

"I'm sick, it is very painful, but no one can replace me. I have to bear the pain and side effects. My family also bear a lot, so I must be strong." Ms. Li said that the process of anti -cancer is extremely difficult and lucky. There are doctors, nurses, family members, and herself fighting side by side. In any case, she wants to win this "battle."

When nasopharyngeal cancer discovery, it is often the middle and late stages

Director Zhou Shuihong introduced that nasopharyngeal carcinoma refers to a malignant tumor that occurs on the top and side walls of the nasopharynx cavity and the pillar of the nasopharyngeal mucosa. The incidence of my country ranks first in the world, and the incidence of nasopharyngeal cancer also ranks first in malignant tumors in the otolaryngology. Especially in the southeast region of my country, the cause of the disease is closely related to many factors such as genetic factors, EB (herpes) virus infections, and like to eat pickled foods. Ms. Li suffers from nasopharyngeal cancer is closely related to her herpes virus.

Director Zhou introduced that the upper digestive breathing tract of the human body is divided into nasopharyngeal, oropharyngeal, and throat pharyng. The position of the nasopharynx is very hidden. It is invisible and invisible from the outside of the human body. Therefore, nasopharyngeal cancer must be discovered by a professional doctor with certain examination equipment. Coupled with the symptoms of nasopharynal cancer, the symptoms of nasopharynx cancer are not typical and do not affect the schedule. Many patients often do not seek medical treatment as soon as possible. It is very easy to missed and misdiagnose. Some patients are already advanced when diagnosed.

At present, the five -year survival rate of patients with early nasopharyngeal cancer (phase I, II) has reached 76%to 90%, but the 5 -year survival rate of patients with simple radiotherapy in the late (III, IV) patients is only 20%to 50%. Therefore, early discovery and early diagnosis is of great significance to improve the treatment effect of patients with nasopharynx cancer.

So, what clues will there be when the human body encounters nasopharyngeal cancer? Experts emphasize the following 5 aspects:

01

Head and neck symptoms

There are lumps on the neck, and painless lumps are particularly vigilant. About 60 to 80%of patients with nasopharyngeal cancer were initially manifested in lymph nodes, but if they lack common sense of nasopharyngeal carcinoma, it is easy to mistakenly think that it is lymph nodes. Essence

02

Nasal symptom

When nasopharynx tumors block the nostrils, the patient's nasal congestion is increasing, and it will not be bad like a cold. The nose with bloodshot, or deep spitting with blood, and bloodshot, especially after getting up in the morning.

03

Ear symptom

Tinnitus, ears and hearing loss. When the tumor blocked the eustachian tube mouth, the ears buzzed in the early days, and then the hearing decreased. It is easy to be misdiagnosed as otitis media. 04

Stubborn headache symptoms

Patients with advanced nasopharyngeal carcinoma often have headache symptoms. This is because tumors invade the skull bottom bone or intracranial pain.

05

Symptoms of nerve damage

Noodles, resurgence, drooping eyelids, decreased vision of eye dysfunction, hoarse sound, atrophy of the tongue muscle, oblique tongue, swallowing disorders, eating cough, etc.

At this time, nasopharyngeal tumors are often prompted to be late, and it is easy to be misdiagnosed as trigeminal neuralgia, facial muscle or eye problems, and the possibility of neglecting nasopharyngeal cancer.

What diseases may be prompted on the lumps on the neck

"Without paying attention, there are lumps on the neck. I believe that many patients will be uneasy." Director Zhou Shuihong introduced that the neck of the human body (commonly known as "neck"), professional covers the anatomical parts below the chin and above the collarbone. The top and bottom include: parotid glands, mandibular glands, throat, oral pharmacophalicia, throat, thyroid, neck trachea, neck esophagus and other tissue organs. It has complex organ sources and dense lymph blood vessels, so it is a good part of neck tumor.

The position of the neck lump is superficial, and it is usually discovered inadvertently. It is the first symptom of a variety of diseases and one of the most common diseases in the otolaryngology department of the First Hospital of Zhejiang University. The cause of neck lump is complicated and there are many pathological types. It can be divided into three types: congenital malformations, inflammatory mass, and tumor tumor.

Clinically, a scholar named Scandalakis has summarized the three "7" principles about the preliminary book of the neck!

Three "7" principles

1. The onset time is within 7 days, and there is symptoms of fever, the probability of inflammation is higher;

2. If the onset of 7 weeks to 7 months, the possibility of tumor is relatively high;

3. If the mass has more than 7 years, it is necessary to first consider the possibility of congenital malformations.

Of course, the "7" here is just a general statement, not absolutely accurate. For example, some special types of lymphoma (malignant tumors) can grow for several years or even more than ten years; and some careless patients often ignore the abnormalities of the neck, causing the mass that has grown for many years. A few months, weeks, or even a few days.

The probability of occurrence varies from age: most of the children and young people are benign inflammatory lymph nodes or congenital cysts, but adults over 40 years old must first rule out tumors. Once there is a lump in the neck, you should go to the hospital for a detailed examination in time.

Different types of neck mass often have different growth positions (see the figure below).

Specifically, the neck mass mainly includes the following:

I. Congenital malformed necks of neck diseases have many types of congenital diseases. It can be found in children or adolescents that most of them are cysts, which are caused by abnormal embryonic development, and most of them are benign. If it does not affect the function and appearance, it is generally not necessary to surgery immediately. However, if the trachea is oppressed, digestive tube or secondary infection, early treatment is required.

Second, inflammatory masses of inflammatory mass are divided into acute and chronic, and acute inflammation has some manifestations such as "redness, swelling, heat, and pain", such as clinically common secondary secondary to the upper respiratory tract infection (cold) (cold)) Acute lymphitis, neck abscesses, etc. will have pain, local redness, and increased skin temperature. Most of these inflammatory lymph nodes are lighter and can be relieved by themselves without having to worry too much. Chronic cases include chronic cervical lymphitis, neck lymph tuberculosis, etc.

Third, tumor

1. Natural tumor:

The most common in thyroid adenoma, salivary gonad polyphoma, followed by neuroscoplasma, neurofibroma, hemangioma, lipoma, and fibroma. The growth of thyroid glandular tumors grows slowly and generally has no obvious symptoms. It is manifested as unilateral isolation and smooth surface thyroid clocks on the anterior neck area. Auxiliary examinations such as B -ultrasound, CT, MRI are combined with neck B -ultrasound, CT, and MRI.

2. Malignant tumor:

It is divided into primary malignant tumors and metastatic malignant tumors. The former often has malignant lymphoma and thyroid cancer. Multinational malignant tumors are mostly derived from head and neck cancer such as nasopharyngeal cancer, and a small part of the chest, abdominal organs, and metastatic cancer of the nasal, pharynx, and throat are mostly located in the upper part of the neck, and most of the metastatic cancer of the chest and abdomen is mostly located in the upper part of the neck. The lower half of the neck.

What should I do if I find the neck lump? Zhejiang University First Hospital to escort you

Expert repeatedly reminds

Discover neck lump

Do not puncture blindly!

First of all, you must find the primary lesion through various examination methods. Even if it is not metastasis of lymph node cancer, imaging examination can basically clear the nature of the neck lump. How to choose the correct specialty? This is a problem for many people's troubles. In fact, there is a "80 %" law of the source of the neck!

1. Non -nor -thyroid masses account for 80%, and thyroid masses account for 20%;

2. 80%of tumor mass, inflammatory mass, congenital malformations and other accounts for 20%;

3. Norocular lumps of non -thyroid masses in non -thyroid lumps account for 80%, and benign tumors account for 20%;

4. 80%of metastases in malignant tumors, and 20%of primaryness;

5. The metastatic malignant tumor comes from 80%of the otolaryngology department, and it comes from 20%of the transfer in the distance;

6. It is derived from 80%of nasopharyngeal cancer in the metastatic malignant tumor of the otolaryngology department, and it is derived from 20%of the other parts of the otolaryngology department.

- END -