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一位青年男性患者,因鼻塞、嗅觉减退、复视、眼球突出及头痛近2年前来医院就诊。此前他曾在当地医院反复检查均未获明确诊断。经局部活组织检查行常规及免疫组化病理切片检查并辅之以CT检查,最终确诊为鼻腔嗅神经母细胞瘤伴鼻窦、眼眶及前颅底侵犯。象类似这样的病人,门诊屡见不鲜,其之所以被误诊或漏诊而耽误治疗,固然与医院的诊疗水平有关,但亦反映出患者缺乏最起码的医学科普知识。鼻腔位于两侧面颅之间,其上后方及两旁由左右成对的四对鼻
A young male patient came to the hospital nearly 2 years ago for nasal obstruction, hyposmia, diplopia, exophthalmos and headache. Previously, he had not been diagnosed repeatedly in local hospitals. The local biopsy routine and immunohistochemical biopsy with CT examination, the final diagnosis of nasal olfactory neuroblastoma with sinus, orbital and anterior skull base violations. Outpatient clinics such as these are common occurrences. Although they have been misdiagnosed or missed and delayed treatment, they are not only related to the level of diagnosis and treatment in hospitals, but also reflect the lack of basic knowledge of medical science. Nasal cavity located between the two sides of the skull, on both sides of the rear and left and right pairs of four pairs of the nose