NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH CẮT LỚP VI TÍNH UNG THƯ VÒM TRƯỚC XẠ TRỊ TẠI BỆNH VIỆN UNG BƯỚU THÀNH PHỐ CẦN THƠ NĂM 2022-2023

Abstract

Background: Nasopharyngeal cancer is a malignant tumor in the nasopharyngeal region that is considered one of the 10 most common cancers. Most of them are detected in the late stage due to complex clinical features and imaging. Objectives: To describe the clinical characteristics and computed tomography images of nasopharyngeal cancer patients before radiotherapy at Can Tho Oncology Hospital in 2022-2023. Materials and methods: Report on a series of 30 cases of nasopharyngeal cancer patients who came for examination and treatment at Can Tho Oncology Hospital from August 2022 to April 2023. Results: Regarding clinical features, cervical lymph nodes (68.8%) were symptoms that made patients uncomfortable when admitted to the hospital. In addition, these characteristics were recorded including midline location (41.7%) and lower location (35%), solid density (91.7%), poor or less mobile. Regarding imaging: The clinical stage was mainly stage III and IV, accounting for about 1/3 of the subjects. Distribution according to T and N, stage N2 and N3 were recorded in more than 2/3 of subjects (36.7% and 30%, respectively). Conclusion: The most common clinical symptom is cervical lymph nodes at 80%. Patients mainly detect at clinical stages III and IV with 80% of patients. These patients are mainly detected at the 6 months stage at 80%. The most common location of the tumor is in the roof and lateral wall and the image on the tumor is papillary.