單側耳鳴 - 鼻咽癌

我下面轉一篇剛好搜尋到的資訊。

最近三個星期我也是罹患耳鳴。所以找了一下資料。

希望下面的資訊--只是統計而已--能夠給你一些幫助。

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SOURCE: J. of Otolaryngol Head Neck Surg. 2008 Jun;37(3):362-5.

TITLE: Early recognition of nasopharyngeal cancer in adults with only
otitis media with effusion.

(中耳積水成人病患的鼻咽癌早期發現)

AUTHOR: Ho KY, Lee KW, Chai CY, Kuo WR, Wang HM, Chien CY.

Department of Otolaryngology, Kaohsiung Medical University Hospital, and
Department of Otolaryngology, Faculty of Medicine, College of Medicine,
Kaohsiung Medical University, Kaohsiung, Taiwan


OBJECTIVE: To assess the probability of nasopharyngeal carcinoma (NPC) being
present among adults who appeared to suffer only from otitis media with
effusion (OME). DESIGN AND SETTING: The clinical features of 87 adults
suffering from OME but who demonstrated no other apparent symptoms and signs
suggestive of NPC at the Department of Otorhinolaryngology, Kaohsiung Medical
University Hospital, between January 2003 and December 2004, were analyzed. A
routine nasopharyngeal biopsy was performed. RESULTS: Five patients revealed
NPCs (four nonkeratinizing carcinomas and one squamous cell carcinoma). OME
was deemed to have resulted from upper respiratory infection in 20 patients
(23.0%), chronic paranasal sinusitis in 15 patients (17.3%), allergic
rhinitis in 16 patients (18.4%), NPC in 5 patients (5.7%), various other
known etiologies in 11 patients (12.6%), and unknown etiologies in 20
patients (23.0%). The incidence of NPC among adults suffering from OME but
featuring no other symptoms and signs suggestive of NPC was 5.7% (5 of 87
patients). Such a figure appeared to be greater than that in some other
reports because NPC tends to feature a greater prevalence in Taiwan.
Therefore, biopsy of the postnasal space for adults who appear to feature
only OME when NPC is strongly suspected is necessary for the early diagnosis
of NPC. CONCLUSIONS: We conclude that Taiwanese adults with only OME, the
cause of which is unclear, should be subjected to an appropriate medical
examination and biopsy of the nasopharynx to exclude NPC.

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大意是說，只有中耳積水症狀的成人病患當中，有5.7%其實是肇因於鼻咽癌。

而絕大部分是因為肇因於上呼吸道感染、慢性鼻竇炎、過敏等。

不過，作者在結論中說，在台灣的成人中耳積水病患，若查不出主要病灶，

則應該做切片等檢查，以排除鼻咽癌的可能。

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單耳耳鳴是中耳積水的一項常見症狀(但病非耳鳴就一定是中耳積水)。

真的緊張就再去看個醫師作檢察查吧




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