鼻腔鼻窦少见肿瘤10例临床病理分析  

Analysis on 10 Cases of Uncommon Tumor in the Nasal Cavity and Paranasal Sinus

作　　者：陈宝琅[1] 刘荷珍[1] 无 

机构地区：[1]山东省菏泽医学专科学校生理教研室,274000 [2]山东省菏泽市立医院耳鼻咽喉科

出　　处：《中国中西医结合耳鼻咽喉科杂志》2016年第1期27-29,41,共4页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的增加对鼻腔鼻窦少见肿瘤的认识,为临床积累资料。方法回顾分析10例鼻腔鼻窦少见肿瘤的临床资料,其中良、恶性肿瘤各5例。结果 3例经2次以上活检确诊,2例曾误诊为鼻息肉,3例行2次以上手术,1例多形性腺瘤多次手术复发后恶变,术后2-3年无复发7例,6-10个月复发3例。结论鼻腔鼻窦少见肿瘤的临床表现无特异性,易被误诊,确诊需依靠病理检查或特殊的病理检查,活检应多点深取,疑多形性腺瘤者避免反复刺激,宜完整切除后送病检。预后与肿瘤的病理性质、生物学行为及手术切除范围等有关,足够大的手术范围是减少复发的关键。Objective To intensify the knowledge about the uncommon tumor in the nasal cavity and paranasal sinus, and accumulate clinical data. Methods Retrospectively analyzed the clinical data of 10 cases of uncommon tumor in the nasal cavity and paranasal sinus, and 5 cases respectively of benign tumor and malignant tumor. Results 3 cases were diagnosed with biopsy more than twice. 2 cases were misdiagnosed as nasal polyp. 3 cases received operations more than twice. 1 case of mixed tumor relapsed and got worse after operation for several times. 7 cases without relapse within 2 to 3 years after operation. 3 cases relapsed within 6 to10 months. Conclusion Uncommon tumors in the nasal cavity and paranasal sinus without specific clinical manifestations were easily misdiagnosed. To be diagnosed accurately, pathological test should be applied with multi-spot biopsy. With regard to mixed tumor,after complete resection, it would be tested pathologically without repeated stimulation. Posttreatment effect is related with the pathological nature, biological behavior and resection range. A big-enough resection range is the key to decreasing the rate of relapse.

关 键 词：鼻腔鼻窦肿瘤 临床 病理学 治疗 

分 类 号：R739.62[医药卫生—肿瘤]