title: [Nasopharyngeal submucous carcinoma with the first show of cervical lymphnode swell].
abstract: OBJECTIVE
  To understand the nasopharyngeal submucous carcinoma with the first show of cervical lymph node swell.
  
  
  METHODS
  To collect the clinical data of 4 patients with such disease.
  
  
  RESULTS
  The 4 cases of nasopharyngeal submucous carcinoma were not diagnosed until 3-6 months after cervical lymphnode metastasis. All patients received radiotherapy, three died within 1 year and another survived.
  
  
  CONCLUSIONS
  If some patients have cervical lymph node swell, pay attention to the metastasis of nasopharyngeal submucous carcinoma firstly. Even the examinations such as cytologic test, VCA-IgA, CT, MRI were negative, or even tuberculomas had been diagnosed, nasopharyngeal submucous carcinoma still can not be excluded.
authors.affiliation: Department of ENT, Union Hospital, Tongji Medical University, Wuhan 430030.
authors.forename: S Y
authors.initials: SY
authors.lastname: Liu
mesh_terms: D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D009333:Neck