Nasopharyngeal swelling with irregular surface is usually a description of the morphology of nasopharyngeal swelling in clinical examination, and it is necessary to improve magnetic resonance, enhanced CT and other examinations to determine the specific nature of the swelling, and ultimately clear diagnosis by pathological examination. 1. Nasopharyngeal swelling is commonly associated with inflammatory tissue hyperplasia, fibrous hemangioma, nasopharyngeal carcinoma, etc. When the surface is found to be irregular, it is necessary to improve the nasopharyngeal enhancement of CT or MRI, and ultimately take the pathology of the histocellular examination, in order to determine the specific nature of the swelling. 2. Generally speaking, benign swelling in nasopharynx can show irregularity when it breaks down, but most of them have clearer boundary, smoother surface and slow growth; malignant swelling can be irregular in morphology, with unsmooth surface, vesiculobullous changes and unclear boundary. When found nasopharyngeal swelling , it is recommended to consult a regular hospital in a timely manner, after a systematic examination to clarify the diagnosis.