右鼻旁基底细胞样鳞状细胞癌1例报道  

Basaloid squamous cell carcinoma of the paranasal on the right side:a case report

作　　者：鲁明 洪育明[1] 郑朝晖[1] 陈晓芳[1] 李雅虹 LU Ming;HONG Yuming;ZHENG Chaohui;CHEN Xiaofang;LI Yahong(Department of Otorhinolaryngology Head and Neck Surgery,the Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属第二医院耳鼻咽喉头颈外科,福建泉州362000

出　　处：《中国耳鼻咽喉颅底外科杂志》2020年第5期573-576,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨鼻基底细胞样鳞状细胞癌(BSCC)的临床特点及治疗方法,以提高临床医师对该病的诊疗水平。方法回顾性分析2017年2月手术治疗的1例BSCC患者的临床资料。患者,女,69岁,因发现"右鼻旁肿物渐进性增大4个月而入院,术前活检即确诊为BSCC,于2017年2月15日行气管切开+右择期性颈淋巴结清扫(I、II、III区)+右鼻旁恶性肿瘤切除+上颌骨部分切除+前臂皮瓣移植修复术,术后患者家属拒绝放射治疗。结果术后密切随访32个月,伤口愈合良好,未见肿瘤复发及转移迹象。结论 BSCC是一种罕见的高度恶性肿瘤,具有独特的病理形态,预后较差,首选手术治疗,术后辅以放疗,需进行密切随访。Objective To explore the clinical features and treatment of nasal basaloid squamous cell carcinoma(BSCC),so as to improve the diagnosis and treatment of this disease.Methods It was retrospectively analyzed for the clinical data of one case of BSCC treated by surgery in February 2017. The patient(female, 69 years old) was admitted to hospital because of the progressive enlarged mass of the paranasal on the right side for 4 months,which was confirmed by preoperative biopsy as BSCC.On February 15,2017, the patient underwent tracheotomy,cervical lymph node selective clearance(Zones I、Ⅱ、III) and resection of parnassal malignant tumor on the right side.And also the patient was performed partial maxillary resection and forearm flap transplantation and repair.The family members refused the radiotherapy of the patient after the surgery.Results After close follow-up of 32 months,the wound healed well without recurrence or metastasis.Conclusions BSCC is a rare and highly malignant tumor with unique pathological morphology and poor prognosis. Surgical treatment is the first choice for BSCC, which is supplemented by radiotherapy after operation with close follow-up.

关 键 词：鼻 基底细胞样鳞状细胞癌 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]