2 cases of nasal cancer misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 6 2 cases of nasal cancer misdiagnosis [Keywords:] cancer misdiagnosis The nose - nasal sinus malignant tumor malignant tumor accounting for about 3% of the body, accounting for otorhinolaryngology 20-50% of malignant tumors [1], from the data point of view, the nose - a higher incidence of paranasal sinus cancer, because of occult high In the absence of line specialist examination before the diagnosis rate is not high, so the nose of misdiagnosis and missed diagnosis rate of malignant tumors compared with other high now I Section 2 cases of nasal cancer diagnosis reported as follows: A case report Example 1. Female, 55 years old, repeated nasal bleeding due to right half of the main v. treatment. Primary hospital for treatment outside the hospital have been many times, for the treatment of epistaxis approach, namely, intravenous nose bleeding and the former packing treatment ineffective. In my outpatient endoscopic sinus show: The right nasal cavity in the nose and black-brown mass, larger, about 4cm, soft and nasopharynx accessible. OK sinus CT examination revealed: the whole group sinusitis (right). Tumor on the right middle meatus. OK adrenaline tetracaine nasal cotton sheet contraction, after considering the necrotizing nasal polyposis, endoscopic biopsy, pathology report: the right side of the middle meatus of malignant melanoma. Patients asked to switch because of higher hospital discharge were lost. Example 2. Female, 51 years old. With recurrent fever, headache, mainly in February v. treatment. Patients outside the hospital due to fever investigation was routine blood test showed a low white blood cells, about 2.0 * 109 / L, the outer courtyard Branch line anti-inflammatory and l white blood cells after treatment, body temperature rise every afternoon between 38 ℃ -39 ℃ , oral nimesulide Shu Lee, the temperature can be reduced to around 37 ℃ , treatment for 20 days, less effective. So turn on a top three hospital Hematology g