Nasopharyngeal swelling is smooth, generally suggesting that the swelling is benign, the following diseases are common in clinical practice.1, adenoid hypertrophy in the nasopharynx, which occurs in children and also occurs in adults. Its general surface is more orange petal-like growth, there is no obvious rupture and pus, bleeding, etc. 2, nasopharyngeal fibrous hemangioma, preferred in young people, its surface is also smooth, but the surface of the blood vessel texture is very rich, touching is very easy to bleed. Once bleeding, it is very difficult to stop bleeding clinically.3. Nasopharyngeal cysts, preferred in adults, usually in the nasopharyngeal part of a smooth, hemispherical bulge, early cysts do not break, patients generally have no obvious symptoms. Once the cyst is localized and infected, the patient may experience pain and discomfort in the back of the head. Once ruptured, there will be backward flow of nose, pus discharge and other clinical manifestations, for this case, the general clinical recommendations for surgical treatment.