患者 ,男 ,6 0岁 ,因鼻塞伴间隙性鼻出血 2个月 ,在当地医院作头颅ＣＴ检查 ,提示颅鼻沟通性占位转我院。体检 :神志清 ,全身银屑病 ,双侧嗅觉丧失 ,双侧鼻道均见肿瘤阻塞 ,表面呈暗红色 ,有少许糜烂面 ,易出血。头颅ＭＲＩ检查发现前颅窝有肿瘤占位并破坏筛板延伸到筛窦、蝶窦 Patients, male, 60 years old, due to nasal congestion with intermittent epistaxis for 2 months at the local hospital for head CT examination, suggesting that cranial nasal communication occupies the seat to turn our hospital. Physical examination: conscious mind, body psoriasis, bilateral loss of smell, both sides of the nasal obstruction were seen tumor, the surface was dark red, a little erosion surface, easy bleeding. The cranial MRI examination found that the tumor in the anterior cranial fossa occupies and destroys the sieve plate extending to the ethmoid sinus and sphenoid sinus