Nasopharyngeal carcinoma after radiotherapy of cervical metastasis in 2 cases.docVIP

 PAGE \* MERGEFORMAT 8 Nasopharyngeal carcinoma after radiotherapy of cervical metastasis in 2 cases [Keywords:] nasopharyngeal carcinoma; cervical transfer; radiation therapy Example 1, male, 69 years old. Stuffy nose, stuffy ear plugs a year, right ear hearing loss in February. September 30, 2003 fiberoptic nasopharyngeal nasopharyngeal mirror examination revealed a new biological, nasopharyngeal biopsy for nasopharyngeal carcinoma, carry out conventional radiotherapy, with 6 MVX rays: nasopharynx, skull base DT66 Gy/38 times / 45 d, the whole neck DT60 Gy/30 times / 42 d, double-neck plus DT10 Gy / 5 times / 7 d, 192Ir (iridium) intracavitary irradiation nasopharyngeal DT14 Gy / 2 times / 14 d, treatment given compound Mylabris capsule, injection, etc. Shenqifuzheng treatment, radiation reaction medium, after radiotherapy stuffy nose, ear plugs nausea symptoms, review CT nasopharyngeal nasopharyngeal lesions significantly improved after radiotherapy did not line chemotherapy, oral anti-cancer drugs has been Huaier Granule and other treatment, regular outpatient review 3 June nasopharynx CT, no recurrence of nasopharyngeal lesions. More than 4 years after radiotherapy of patients with cervical occipital pain improved after symptomatic treatment, in April 2008 in patients with recurrence of occipital pain, fiber nasopharyngoscopy nasopharynx, no new creatures, CT nasopharyngeal nasopharyngeal lesions are not See recurrence, chest X-ray revealed no abnormalities. Cervical MRI showed changes in the cervical disc degeneration, no destruction of bone diagnosed as nasopharyngeal carcinoma after radiotherapy; cervical disease, the symptoms improved after symptomatic treatment and then repeated occipital pain and gradually increasing, July 30, 2008 re - cervical MRI showing the cervical bone hyperplasia, cervical disc degeneration, cervical vertebrae 3 to 5 signal increased, a former arch and cervical cervical vertebrae two most abnormal signal, cervical 2 ~ 4 soft