Objective:The aim of this study is to analyze the clinical features of the
pseudoaneurysm of the cervical vascular in patients with
nasopharyngeal carcinoma after
radiotherapy, and to summarize the clinical signs of patients with cervical vascular
aneurysm, and to provide a basis for improving the success rate of treatment. Method:Patients with
hemorrhage disease were treated by digital subtraction angiography (DSA) after
radiotherapy for
nasopharyngeal carcinoma are included. According to the presence or absence of
pseudoaneurysm (PSA), patients are divided to
pseudoaneurysm group (PSA group) and non-
pseudoaneurysm group(non-PSA group), analysis of gender, age, presence or absence of
tumor recurrence, presence or absence of recurrent
radiotherapy, history of nasopharyngeal surgery after
radiotherapy, needed to open the airway before the interval
therapy, time to the end of
radiotherapy. Result:The rate of
tumor recurrence was 80% (12/15) in patients with
pseudoaneurysm and 60%(9/15) in recurrent
radiotherapy, which was significantly higher than that in patients with non-pseudular
aneurysms. The average time to the end of
radiotherapy is 36.5 months in patients with
pseudoaneurysm, significantly shorter than non-
pseudoaneurysm patients(106.7 months). Conclusion:The high-risk clinical features of patients with cervical vascular
pseudoaneurysm include: ①recurrence of
nasopharyngeal carcinoma; ②history of recurrent
radiotherapy; ③interval time is shorter between the
hemorrhage and the end of
radiotherapy, usually taking place within a few months to two years after recurrent
radiotherapy. Patients with the above characteristics need to be screened early, and the DSA should be used as early as possible to confirm the cervical vascular condition and effectively control the
hemorrhage.