本文選題：兒童　切入點(diǎn)：鼻竇腫瘤　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年20期

【摘要】：目的:加深對(duì)兒童鼻部腫瘤的發(fā)病情況、臨床病理組織學(xué)及影像學(xué)特點(diǎn)的全面了解,提高臨床診斷和鑒別診斷水平。方法:收集經(jīng)活檢或術(shù)后病理確診的40例鼻部腫瘤患兒的資料,總結(jié)其臨床特征、病理組織學(xué)及影像學(xué)特點(diǎn)。結(jié)果:良性腫瘤23例,惡性腫瘤17例。良性腫瘤以纖維血管瘤(7例)、毛細(xì)血管瘤(4例)及骨化纖維瘤(4例)為主;惡性腫瘤以淋巴瘤(10例)及胚胎型橫紋肌肉瘤(3例)為主。10例病變主要位于鼻竇,7例病變局限于鼻腔或鼻前庭,8例鼻腔鼻竇均受累,10例病變位于鼻咽部和(或)后鼻孔,3例位于外鼻,2例位于鼻中隔。CT或MRI表現(xiàn):骨質(zhì)破壞13例,骨質(zhì)吸收5例,14例累及鄰近結(jié)構(gòu),6例伴頸部淋巴結(jié)腫大。結(jié)論:兒童鼻部腫瘤以淋巴瘤、纖維血管瘤、毛細(xì)血管瘤、骨化纖維瘤和胚胎型橫紋肌肉瘤較常見,其臨床癥狀不典型,診斷及鑒別診斷主要依靠病理及影像學(xué)檢查,CT和MRI能很好地顯示腫瘤的部位、周圍骨質(zhì)改變情況和鄰近結(jié)構(gòu)侵犯,對(duì)腫瘤的臨床診斷、分期、治療方案的制定及預(yù)后評(píng)估具有重要意義。
[Abstract]:Objective: to study the incidence of nasal neoplasms, clinical histopathology and imaging features in children. Methods: 40 cases of nasal neoplasms confirmed by biopsy or postoperative pathology were collected, and their clinical features, histopathological and imaging features were summarized. In 17 cases of malignant tumor, 7 cases of fibroangioma, 4 cases of capillary hemangioma and 4 cases of ossifying fibroma were the main benign tumors. Malignant neoplasms (n = 10) and embryonal rhabdomyosarcoma (n = 3). 10 cases were mainly located in nasal sinus, 7 cases were located in nasal cavity or nasal vestibule, 8 cases were involved in nasal cavity and paranasal sinus, 10 cases were located in nasopharynx and (or). The posterior nostril in 3 cases was located in the external nasal canal. 2 cases were located in the nasal septum. Ct or MRI: bone destruction was found in 13 cases. Bone resorption in 14 cases involved adjacent structure in 6 cases with cervical lymph node enlargement. Conclusion: lymphoma, hemangioma, capillary hemangioma, ossification fibroma and embryonal rhabdomyosarcoma are more common in children with nasal tumors. Its clinical symptoms are not typical. The diagnosis and differential diagnosis mainly depend on pathological and imaging examination. Ct and MRI can well show the location of tumor, the changes of surrounding bone and the invasion of adjacent structure, and the clinical diagnosis and staging of the tumor. It is very important to make treatment plan and evaluate prognosis.
【作者單位】： 廣西醫(yī)科大學(xué)第一附屬醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】：R739.62
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本文編號(hào)：1660616