南京军区福州总医院南京军区福州总医院F FUZHOUUZHOU GENERALGENERAL HOSPITALHOSPITAL OFOF N NAJINGAJING MILITARYMILITARY COMMANDCOMMAND下咽癌病历讨论下咽癌病历讨论放疗科 傅志超南京军区福州总医院南京军区福州总医院F FUZHOUUZHOU GENERALGENERAL HOSPITALHOSPITAL OFOF N NAJINGAJING MILITARYMILITARY COMMANDCOMMAND简要病史简要病史v患者兰XX,男,47岁。v主诉:饮水呛咳伴声嘶1月。v查体:右颈部a区可触及一大小约22cm肿大淋巴结,质地硬,移动度差,轻度压痛。v三大常规,胸片、腹部彩超、ECT、心电图无异常。vKPS 90分。2肠道相关南京军区福州总医院南京军区福州总医院F FUZHOUUZHOU GENERALGENERAL HOSPITALHOSPITAL OFOF N NAJINGAJING MILITARYMILITARY COMMANDCOMMAND简要病史简要病史v鼻咽镜示:右披裂、梨状窝见菜