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作 者:孙伟元[1] 冯玉芳[1] 高华强[1] 赵承亮[1]
机构地区:[1]潍坊医学院附属青州医院耳鼻咽喉科,262500
出 处:《山东医大基础医学院学报》1999年第4期214-215,共2页
摘 要:报告鼻腔鼻窦非上皮源性恶性肿瘤7 例,其中恶性黑色素瘤2 例,恶性神经鞘瘤2 例,非霍奇金氏淋巴瘤2 例,平滑肌肉瘤1 例。因鼻腔鼻窦恶性黑色素瘤罕见,故易误诊,其中1 例因高度疑为此病,经病检证实,及时准确切除了瘤体,术后存活5 年余;恶性神经鞘瘤临床确诊主要依靠病检,诊断平滑肌肉瘤则需结合免疫组化检测,随免疫组化的开展,非霍奇金氏淋巴瘤的临床与病理诊断符合率已有提高,前三者治疗以手术切除为主,非霍奇金氏淋巴瘤则可先化疗再局部放疗。Seven cases of non epithelial malignant tumor of nasal sinuses were reported.Symptoms included malignant melanoma,2 cases;Schwannoma,2; myosarcoms,1.They were diagnosed by pathological examination and treated with resection,and the diagnosing of leimyosarcoma should also combine with immunohistochemistry examination.The symptoms also included non Hudgkin′s lymphoma,2 cases;they were diagnosed by immunohistochemistry examination and treated with chemotherapy and local radiotherapy.
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