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Vol. 53. Issue 7.
Pages 473-480 (September 2002)
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Vol. 53. Issue 7.
Pages 473-480 (September 2002)
Estudio clínico descriptivo de 40 pacientes con carcinoma de nasofaringe en estadio avanzado en un área de bajo riesgo epidemiológico
Clinical descriptive study in 40 patients with carcinoma of the nasopharynx in advanced stages seing in an area of low epidemic risk
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D. Pérez Plasencia*,, J.L. Gómez González*, S. Santa Cruz Ruiz*, M.M. Mateos Pérez*, J.L. Pardal**
* Servicios de O.R.L. y patología cérvico-facial
** Servicio de O.R.L. del hospital virgen de la concha de zamora
A. Muñoz herrera, T. Flores#
Anatomía patológica# del hospital clínico de salamanca
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Resumen

El carcinoma de nasofaringe en España, que es considerada una zona geográfica de escasa incidencia, es un tumor raro. Ello es una de las causas de que existan muy pocos trabajos sobre este tema en nuestro país. Hemos realizado un estudio descriptivo muestral, es decir, seleccionado de entre todos los pacientes diagnosticados de carcinoma de nasofaringe a un amplio grupo que por haber sido tratado de manera multidisciplinar con poliquimioterapia de inducción seguida de radioterapia con o sin cirugía posterior presentaba historias clínicas completas en los Servicios de O.R.L., Oncología y Radioterapia, lo que nos permitió contrastar todos los datos recogidos y aumentó, sin duda, la fiabilidad de los mismos. Los resultados obtenidos son coincidentes con los recogidos en la literatura. El carcinoma de nasofaringe es un tumor que afecta a pacientes jóvenes, de ambos sexos, sin consumo previo de alcohol y tabaco, que son diagnosticados en estadios avanzados, en los que la clínica rinológica es la más frecuente pero las adenopatías cervicales son el motivo de consulta habitual, con un amplio intervalo diagnóstico. Predominan los tumores indiferenciados en el estudio histológico.

Palabras clave:
Carcinoma de nasofaringe
Estudio descriptivo
Edad
Sexo
Síntomas
Consumo de alcohol y tabaco
Estadio
Histopatología
Abstract

The nasopharyngeal carcinoma in Spain, low risk geographical area, is a rare tumor. This is the cause why there’re few papers about it in our country. We have carried out a muestral descriptive statistical study. We have selected among all the patients diagnosed of nasopharyngeal carcinoma a big group who, have been treated with induction chemotherapy followed by radiotherapy with or without surgery, they presented very complete clinical histories in the Departaments of E.N.T., Oncology and Radiotherapy that allowed us to compare all the picked up data and this increased, without doubt, the reliability of them. The results obtained in the different examined variables of our patients are the same that those we found in literature.The nasopharyngeal carcinoma is a tumor that usually affects young patients, of both sexes, without previous consumption of alcohol and tobacco and they are diagnosed in advanced stages.The rhinologic symptoms are the most frequent ones but the cervical nodes are the usual cause for consulting a doctor with a long diagnostic interval.There is a prevalence in the undifferentiated tumors showed by histology.

Key words:
Carcinoma of the Nasopharynx
Descriptive Analysis
Age
Sex
Symptoms
Consumption of alcohol
tobacco
Staging
Pathology

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