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鼻窦纤维组织细胞瘤是极为罕见的肿瘤。1964年由O’Brien首次报道,我院1978年收治1例,现报道如下。病例摘要患者女,53岁。右鼻进行性阻塞半年,涕中血染,右上牙麻木伴右头痛,门诊活检为纤维组织细胞瘤或神经纤维瘤,全身情况无特殊。耳鼻咽喉科检查:右鼻前孔有红色肿物,易出血,余不能窥清,右鼻后孔见灰白色伪膜的肿物,血尿常规正常。血沉:68mm/第一小时。X片:右鼻腔有软组织肿块填塞,后界达后鼻孔,右上颌窦腔混浊,内侧壁骨质破坏,筛窦气房模糊。在全麻下行鼻侧肿瘤切除术,术后~(60)钴照射4000r。术后8个月因肿瘤复发再次在全麻下行扩大上颌骨截除和眼内容剜出术,因并发化
Sinus fibrosclerosis is a very rare tumor. First reported by O’Brien in 1964, 1 case was admitted to our hospital in 1978 and is reported below. Case Summary Female patient, 53 years old. Right nasal obstruction six months, bloody tears in the nose, right upper quadrant numbness with right headache, out-patient biopsy for fibrous histiocytoma or neurofibroma, the whole body no special circumstances. Otorhinolaryngology examination: the right anterior nasal hole with red tumor, bleeding easily, I can not see, the right nasal orifice to see the gray pseudomembranous tumor, hematuria routine normal. ESR: 68mm / first hour. X-ray: the right nasal cavity filled with soft tissue mass, after the border reached the nostril, right maxillary sinus cavity opacity, destruction of the medial wall of bone, ethmoid air room fuzzy. Nasal tumor resection under general anesthesia, postoperative ~ (60) cobalt irradiation 4000r. 8 months after surgery because of tumor recurrence again under general anesthesia to expand the maxillary cut and eye surgery out of content, due to complicated