最近审阅: 1 十一月 2020
最近更新: 02 五月 2019

小结

定义

病史和体格检查

其他诊断因素

  • 咽痛
  • 颈部包块
  • 质硬或溃疡包块
  • 吞咽困难
  • 颈部淋巴结肿大
  • 耳痛
  • 张口困难
  • 白斑(黏膜白斑病)及红斑(黏膜红斑病)

危险因素

  • 存在的危险因素
  • 吸烟
  • 酒精
  • 人类乳头状瘤病毒 (HPV)-16 感染
  • 嚼烟草和槟榔

诊断性检查

首要检查

  • 原发部位活检
  • 头颈部PET-CT
  • 颈淋巴结细针穿刺细胞学 (FNAC)
  • 颈部淋巴结切除活检
更多 首要检查

需考虑的检查

  • 头颈部CT扫描
  • 头颈部MRI
  • 上消化道内镜检查或三联内镜
  • 改良吞钡造影检查
  • HPV-16原位杂交,p16免疫组化,或活检标本PCR
  • 全血细胞计数 (FBC)
  • 电解质
  • 血浆尿素/氮
  • 血清肌酐
  • 总蛋白
  • 白蛋白
  • 前白蛋白
  • 肝功能检查 (LFT)
更多 需考虑的检查

治疗流程

撰稿人

Professor and Chair

Radiation Oncology Department

Howard University

Washington

DC

利益声明

NPN is an author of a number of references cited in this topic.

Assistant Professor of Radiology

University of Arizona

Tucson

AZ

利益声明

FA declares that he has no competing interests.

Dr Nam P. Nguyen and Dr Fabio Almeida would like to gratefully acknowledge Dr Linda Garland, a previous contributor to this topic.

利益声明

LG is on the speakers' bureau for Sanofi-Aventis, maker of Taxotere.

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Chair Emeritus

Head and Neck Multidisciplinary Cooperative Group

Department of Head & Neck Oncology and Surgery

The Netherlands Cancer Institute

Amsterdam

The Netherlands

利益声明

AJB declares that he has no competing interests.

Specializing in Head & Neck Cancer

Director of Clinical Trials

Radiation Oncology

H. Lee Moffitt Cancer Center & Research Institute

Tampa

FL

利益声明

AT is an author of a reference cited in this topic.

Assistant Professor of Medicine

Yale Cancer Center

Yale University

New Haven

CT

利益声明

HD is on the speakers' bureau for Sanofi-Aventis and has received reimbursement for talks given about their product Taxotere.

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