34例下鼻甲肿瘤的临床分析

发布时间：2018-05-09 04:43

本文选题：肿瘤 + 下鼻甲　；参考：《临床耳鼻咽喉头颈外科杂志》2014年14期

【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。
[Abstract]:Objective: to analyze the characteristics of primary tumors in inferior turbinate and to improve the understanding of inferior turbinate tumors. Methods: the clinical data of 34 patients with inferior turbinate tumor were collected, including 18 males and 16 females, aged 2576 years (mean 45.6 years). All cases were confirmed by pathological examination. Results in 34 cases of tumors of inferior turbinate, 23 cases were benign tumors, 11 cases were malignant tumors. The most common benign tumors are hemangiomas, accounting for 78. 3 percent of all tumors in the inferior turbinate and 52. 9 percent of all tumors of the inferior turbinate. Other benign tumors include inverted papilloma, valgus papilloma, and solitary extrapleural neurofibroma. The most common malignant tumors were non-Hodgkin 's lymphoma (NHLN), accounting for 54.5 / 11% of all tumors of inferior turbinate, accounting for 17.6% of all tumors of inferior turbinate. Secondly, there were squamous cell carcinoma, malignant melanoma and undifferentiated carcinoma. 2 tumor growth site: except 3 cases of NHL were bilateral lesions, all the others were unilateral. The most common tumors from the anterior inferior turbinate are hemangioma 14 / 1877.8% and malignant melanoma both invading the full-length symptoms of the inferior turbinate: nasal obstruction is the most common symptom 25 / 34 / 73.5G and nasal hemorrhage or snot is the most important complaint of hemangioma. Conclusion: about 2 / 3 of inferior turbinate tumors are benign, and hemangioma is most common in malignant tumors. Most hemangiomas are located at the anterior end of the inferior turbinate. In the short term, patients with slow progression unilateral or bilateral diffuse enlargement of inferior turbinate and poor contractile response of ephedrine should be alert to the possibility of NHL or malignant melanoma.
【作者单位】：北京大学第一医院耳鼻咽喉-头颈外科;
【分类号】：R739.62

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