复发性上颌窦多形性腺瘤恶变为肌上皮癌1例  

Recurrent maxillary sinus pleomorphic gonadoma into myoepithelial carcinoma:a case report

作　　者：胡真真 李道明[2] 金晓朗 王英[1] HU Zhenzhen;LI Daoming;JIN Xiaolang

机构地区：[1]郑州大学第一附属医院鼻科,郑州450052 [2]郑州大学第一附属医院病理科

出　　处：《临床耳鼻咽喉头颈外科杂志》2019年第9期891-893,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告患者,女,44岁,因左侧鼻塞、面部麻木4月余于2018年6月入院,不伴复视、视力下降、涕中带血、头晕头痛等不适。患者曾于1991年在当地医院行左侧上颌黏膜囊肿切除术,术后病理回示:多形性腺瘤;2001年病情复发,于外院再次行左侧上颌黏膜囊肿切除术,病理回示:上颌多形性腺瘤。A 44-year-old woman with left nasal obstruction and facial numbness for 4 months was admitted to hospital.The patient did not have amblyopia,vision loss,runny nose with blood,dizziness,headache or other discomfort.In 1991 and 2001,the patient were pathologically diagnosed as pleomorphic adenomas.CT of nasal cavity and paranasal sinuses showed that in the left maxillary sinus there was an about 4.4 cm×4.5 cm×4.7 cm large mass soft tissue density,showing expansive growth protruding into the left orbital floor.MRI showed that the lumped short T1 signal was seen in the left maxillary sinus and the linear long T1 signal was seen in the left nasal cavity,and the liquid accumulation signal foci could be seen in the left maxillary sinus.Postoperative pathological findings:(left maxillary sinus mass)Combining morphology,immunohistochemical results and medical history,consistent with pleomorphic adenoma carcinogenesis(cancer in pleomorphic adenoma),carcinogenesis type is myoepithelial carcinoma.

关 键 词：上颌窦 腺瘤 多形性 肌上皮瘤 

分 类 号：R739.62[医药卫生—肿瘤]