Monday, December 28, 2009

Neck mass should be alert

A 64-year-old male patient, because "I found that the neck mass in January," admitted City First People's Hospital. Doctors found that patients with neck mass that appeared more than two months before a hoarse voice, swallowing pain, mistaken for a sore throat, no attention. However, the postoperative pathologic examination showed the right side of well-differentiated squamous cell carcinoma of the pyriform sinus, right cervical lymph nodes 2 / 6, see metastasis.

Coincidentally. Xiangyang a 28-year-old female patient, but also because of "the neck mass was found four months," admitted to hospital and found that both before and after neck mass in patients with no symptoms, postoperative pathologic examination showed (left) papillary thyroid carcinoma.

Often in patients with neck mass was found a few months or even a few days treatment, the clinical often the first symptom for patients, or even the only symptoms, treatment, but the neck mass wide variety of sources, there were different types, nature is sometimes difficult to judge. Many patients with painless neck mass was discovered, the patient, and no apparent discomfort, difficult to pay sufficient attention to. In particular the location of the tumor in the throat of the hidden, late onset of symptoms, many patients even with throat discomfort, but in the local clinic was as chronic laryngitis, pharyngeal paraesthesia treatment, when the symptoms get worse after the treatment had no significant effect or only doctor will once again be a clear diagnosis.

The elderly and neck malignant tumor mass more likely, and often to bring about the clinical differential diagnosis and treatment difficult, often misdiagnosed, admission is cancer is often late, the prognosis is poor. Therefore, the elderly found that throat discomfort, hoarseness, swallowing a sense of obstruction, sputum with blood, which do not timely, it should guard against and promptly to the hospital.

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