中国麻风皮肤病杂志 ›› 2018, Vol. 34 ›› Issue (12): 733-735.

• 经典病例研究 • 上一篇    下一篇

以皮肌炎为首发症状的鼻咽癌一例

刘慧，陈军，陈欢，桑红   

  1. 南京军区南京总医院，南京， 210002
  • 出版日期:2018-12-13 发布日期:2018-12-14
  • 通讯作者: 桑红,E-mail:shzwqzsl@163.com

Nasopharyngeal carcinoma with dermatomyositis as its initial symptom: a case report

LIU Hui，CHEN Jun，CHEN Huan，SANG Hong   

  1. Department of Dermatology, Nanjing General Hospital of Nanjing Military Command，Nanjing 210002,China
  • Online:2018-12-13 Published:2018-12-14
  • Contact: SANG Hong,E-mail:shzwqzsl@163.com

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摘要： 患者,男，19岁，3个月前以皮肌炎为首发症状就诊我院，查肌酶、皮肤活检、肌肉活检等明确诊断为皮肌炎。病程中缺乏鼻咽癌的常见临床症状，查血清EB病毒抗体及头颈部影像学结果异常，鼻咽部穿刺组织病理检查：低分化鳞状细胞癌（淋巴上皮癌）。诊断：皮肌炎；鼻咽癌。给予甲泼尼龙及放射治疗，目前仍在随访中。

关键词: 皮肌炎, 鼻咽癌

Abstract: A 19 years old man was diagnosed withdermatomyositis according to the results of muscle enzyme examination, skin biopsy and muscle biopsy three months ago. The common clinical symptoms of nasopharyngeal carcinoma were not fond during the course of the illness.The serum EB virus antibody and the imaging results of head and neck of the patient were abnormal . Histopathological examination of nasopharynx biopsy tissue showed the features of poorly differentiated squamous cell carcinoma (lymphoepithelial carcinoma). Then the patient was treated with methylprednisolone, hydroxychloroquine?sulfate and radiation therapy. The patient is still in follow-up.

Key words: dermatomyositis, nasopharyngeal carcinoma