摘要
目的：分析原发于下鼻甲的肿瘤特点,提高对下鼻甲肿瘤的认识。方法：收集34例下鼻甲肿瘤患者的临床资料,男18例,女16例;年龄25-76岁,平均45.6岁。所有病例均经病理检查确诊。结果：①肿瘤性质：34例下鼻甲肿瘤,23例为良性肿瘤,11例为恶性肿瘤。良性肿瘤中最常见的是血管瘤,占78.3%（18/23）,占所有下鼻甲肿瘤的52.9%。其他良性肿瘤还有内翻性乳头状瘤、外翻性乳头状瘤、孤立性胸膜外神经纤维瘤。恶性肿瘤中最多见的是非霍奇金氏淋巴瘤（NHL）,占54.5%（6/11）,占所有下鼻甲肿瘤的17.6%。其次,还有鳞状细胞癌、恶性黑色素瘤和未分化癌。②肿瘤生长部位：除3例NHL是双侧病变外,其余均单侧发病。来源于下鼻甲前端的肿瘤,最常见的是血管瘤（14/18,77.8%）;NHL和恶性黑色素瘤均侵及下鼻甲的全长。③症状：鼻堵是最常见的症状（25/34,73.5%）,鼻出血或涕中带血是血管瘤最重要的主诉。结论：下鼻甲肿瘤中约2/3为良性肿瘤,其中血管瘤最多见。NHL在恶性肿瘤中最多见。血管瘤大多数位于下鼻甲前端。短期内缓慢进展性单侧或双侧下鼻甲弥漫性肿大,且麻黄素收缩反应欠佳的患者应警惕NHL或恶性黑色素瘤的可能。
Objective：The purpose of this study was to analyzed the histopathologic spectrum and clinical features of the tumors originated from the inferior nasal turbinates. Method：Clinical data of 34 patients with tumours of the inferior nasal turbinates, treated from Jan. 1998 to Dec. 2012, were retrospectively reviewed. Of the 34 patients, 18 male and 16 female, aged from 25 years to 76 years （mean： 45.6yr）. Result ： （D Pathology ： Of the 34 patients, 23（67.6%） were benign and 11（32.4%） were malignant. Hemangiomas were the most frequent benign tumour accounting for 18/23（78.3%）in benign tumour and for 52.9% in all the tumors originated from inferior nasal turbinates. Other benign tumours included inverted papilloma, squamous papillomas and extrapleural solitary neurofibroma tumor, The most common malignant tumour was non-Hodgkin＇s lymphoma accounting for 6/11 （54.5%）in malignant tumour and for 17.6% in all the tumors.. Other malignant turnout included squamous cell carcinoma, melanoma and undifferentiated carcinoma. QDistribution： Most tumors （31/34） arose from unilateralturbinates. Hemangiomas is the commonest tumor originated from anterior part of the turbinate in 14 cases of 18 （77.8 %）. NHL and melanoma involved through turbinates. 3, Symtoms= Nasal obstruction was the most com- mon symtom（25/34, 73.5%）. Epistaxis and bloody nasal discharge were the chief complaint in hemangiomas. Conclusion= 1. The most common benign and malignant tumors of the inferior turbinate were hemangioma and NHL. The majority of the hemangiomas（14/18） arose from the anterior part of the inferior turbinate. NHL or melanoma often presented progressive, unilateral or bilateral diffuse enlargement of the inferior turbinate with poor vascular contractile reactivity to the ephedrine.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2014年第14期1050-1052,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
肿瘤
下鼻甲
鼻腔
tumour
inferior turbinate
nasal cavity
