鼻腔尤文肉瘤一例

患者女,40岁.因右侧鼻塞伴右眼流泪2个月于2006年9月8日入院.无涕中带血、视力模糊、头痛、面部麻木、牙齿疼痛及嗅觉减退症状.体检:鼻外形无明显畸形,鼻中隔稍偏左,右侧鼻腔总鼻道及下鼻道充满红色新生物,中鼻道少量黏性分泌物,左侧下鼻甲、中鼻道未见明显异常.鼻窦CT示右侧鼻腔可见大小约2.8 cm×2.5 cm的肿块,右侧下鼻甲及卜颌窦内侧壁骨质部分吸收(图1).     

鼻腔鼻窦原发性软骨肉瘤1例

患者,男,47岁,因进行性鼻塞4年,于2003年3月14日收入院。患者双侧进行性鼻塞,无疼痛,伴嗅觉减退。检查见右侧鼻腔有一淡红色肿物,表面光滑,质硬,鼻中隔极度左偏,与左侧中下鼻甲接触。鼻窦MRI示：双侧鼻腔占位性病变侵及双侧筛窦、上颌窦及蝶窦,伴上颌骨及牙槽骨、筛骨、蝶骨鞍底骨质破坏,考虑为侵袭性生长恶性肿瘤,拟诊：鼻腔鼻窦肿物（右）。     

外耳道粒细胞肉瘤一例

患者男,36岁,无诱因出现左耳闷塞感2个月,伴听力下降和耳鸣,之后左耳道出现疼痛,无眩晕,无耳道流脓,于2006年12月就诊于我院门诊.     

喉粒细胞肉瘤一例

患者男,61岁.2010年6月因"声嘶2个月,进食呛咳,活动后呼吸急促1个月"入院.入院前曾就诊于当地医院,诊断为"慢性喉炎"并予以药物治疗,未见好转,且病情呈进行性加重,具体用药不详.外院CT示:以会厌为中心均匀密度肿块,大小为30 mm×39 mm.会厌前间隙消失,以会厌喉面为主,向下延伸,两侧杓会厌皱襞增厚,喉前庭变窄.     

鼻腔鼻窦横纹肌肉瘤一例

鼻腔鼻窦横纹肌肉瘤一例徐中生患者男，４２岁。左侧鼻堵，涕中带血２年余，左侧偏头痛半个月，于１９８５年６月１０日入院。检查：左中鼻道见０．５ｃｍ×１ｃｍ×１．５ｃｍ暗红色新生物，表面光滑，可移动，触之易出血。右鼻腔及鼻咽部未见新生物。两眼球活动正常，视...     

鼻腔鼻窦畸胎癌肉瘤一例

患者男,47岁,因“反复右鼻腔出血伴鼻阻2余月”于2014年1月4日入院。2余月前患者无明显诱因出现右鼻腔反复出血,量较少,可自止,伴鼻阻,无嗅觉减退、头昏、头痛、脓涕、眼痛、视力减退及复视等症状。于外院就诊,行鼻部CT示：右侧额窦、上颌窦、筛窦、蝶窦及右侧鼻腔内见软组织影充填,     

双侧鼻腔浆细胞肉瘤一例

鼻腔浆细胞肉瘤少见,同时发生在双侧鼻腔者罕见。本院收治1例,现报告如下。 患者,女,42岁。因双侧耳塞、流涕2周就诊,发现双侧鼻腔肿物,经活检诊断为浆细胞肉瘤。局部检查;双中鼻甲呈息肉状外形,右侧较大,表面光滑,触之中等硬度,易出血,稍能活动,粉红色。鼻咽镜见肿块未超出后鼻孔。X线鼻窦华氏位摄     

原发性鼻腔骨瘤一例

原发性鼻腔骨瘤一例周瑞珊，贺红兵原发于鼻腔的骨瘤少见，我科收治１例，报告于下。患者，女，４０岁。因右鼻塞２年，于１９９４年３月１０日入院。体检：一般情况可，外鼻略显膨隆，右鼻腔可见一圆形新生物，呈粉红色，质坚硬，不活动，占据右侧整个鼻腔。其突出面较光...     

原发性鼻腔鼻窦血管外皮肉瘤1例报告

病例报告 :患者男 ,34岁 ,干警 ,因右侧鼻腔反复出血 2月余 ,于 1998年 11月 2 7日入院。无鼻腔疼痛、鼻阻塞、头昏、头痛。鼻腔检查见右侧下鼻道有一淡紫红色新生物 ,约1.5ｃｍ× 0 .8ｃｍ ,1%麻黄素不能使之收缩 ,下鼻道内有血迹。左侧鼻腔粘膜红润 ,通气可。鼻咽部正常。新生物活检报告为“右鼻腔纤维血管瘤” ,遂于 12月 9日在全麻下经右上颌窦行同侧鼻腔外侧壁新生物切除术 ,术中未见骨质破坏 ,上颌窦内粘膜光滑。术后病理诊断为“右鼻腔血管外皮肉瘤(Ｔ1Ｎ0 Ｍ0 )”。行放疗 ,照射剂量为 36Ｇｙ ,内照射剂量为2 4Ｇｙ。 1999年 6月因…     

鼻腔和筛窦上皮样血管肉瘤侵犯颅内致死亡一例

患者男,52岁,因右侧鼻腔出血半年,加重伴鼻塞、头痛1个月于2008年6月入院.患者伴右眼溢泪,右面颊麻木感,无复视、视力下降,无发热,于当地医院抗炎对症治疗后无好转.     

Primary nasal tuberculosis: a case report

During the past 2 decades, tuberculosis--both pulmonary and extrapulmonary--has re-emerged as a major health problem worldwide. Nasal tuberculosis--either primary or secondary to pulmonary tuberculosis or facial lupus--is rare, but it should be considered in the differential diagnosis of nasal granulomas. We describe a case of primary nasal tuberculosis in an adult male who presented with a polypoid lesion in one nasal cavity. The diagnosis was based on histopathology and the patient's successful response to antituberculous drug treatment. Given the rising incidence of tuberculosis, it is prudent that otolaryngologists remain cognizant of this infection as a potential cause of unusual lesions in the head and neck.     

Primary nasal tuberculosis: a case report

We report a case of a 36 year old woman who presented a chronic rhinitis and a hypertrophy of the inferior turbinates. Primary nasal tuberculosis was discovered by chance after the inferior turbinectomy. Primary nasal tuberculosis is very rare and is more frequent in women. Symptomatology is often unilateral with nasal obstruction, anterior rhinorrhea or epistaxis. The clinical examination may discover ulceration or a polyp located generally in the nasal septum or the inferior turbinate. Diagnosis relies on the anatomopathologic and bacteriological examinations. The treatment is mainly medical based on antituberculosis drugs. In the light of this case report, a review of the literature was made.     

Paraganglioma of the nasal cavity: a case report

We describe the case of a 72-year-old woman presenting with a 1-year history of recurrent epistaxis and unilateral progressive nasal obstruction with associated rhinolalia resulting from the presence of a tumor mass occupying two-thirds of the right nasal cavity. Histopathologically, neoplastic cells or "chief cells" were arranged in well-defined nests, which had the classic alveolar or so-called "zellballen" pattern. Immunohistochemical studies highlighted the presence of S-100 protein-positive sustentacular cells located at the periphery of the clusters of chief cells. The chief cells showed a diffuse and intense positivity for neuron-specific enolase and synaptophysin. A diagnosis of paraganglioma was made. The lesion was excised completely and the patient did not develop recurrences or distant metastases after 8 months of follow-up. Paragangliomas arising in the nasal cavity and paranasal sinuses are extremely rare tumors. We report on the clinical, histopathological and immunohistochemical findings of our case and review the cases previously described in the literature.     

Leishmaniasis of the nasal cavity: a case report

Establishing diagnosis of a granulomatous lesion of the nose is often difficult. Here we report a case of granulomatous lesion of the nose caused by Leishmania--an unlikely cause in the UK. The diagnosis and management of the case is discussed here.     

原发性鼻腔鼻窦骨外尤文肉瘤/外周原始神经外胚层肿瘤2例并文献复习

目的 分析原发性鼻腔鼻窦骨外尤文肉瘤/外周原始神经外胚层肿瘤的发病特点,为该病的诊疗提供参考。 方法 回顾性分析2014年3月至2019年7月收治入院的2例鼻腔鼻窦骨外尤文肉瘤/外周原始神经外胚层肿瘤患者的临床资料,并检索2006年至2021年国内外相关文献,共48例(含本文2例)患者纳入研究,总结临床表现、治疗方法及预后。 结果 本组患者7~83岁、中位数26岁,男女比例1∶1.5,以鼻部症状为主,鼻塞16/28(57.1%)、鼻出血/涕中带血12/28(42.9%)、头痛3/28(10.7%)、嗅觉减退3/28(10.7%)。病变侵犯部位:鼻腔32/48(66.7%)、上颌窦24/48(50.0%)、筛窦27/48(56.3%)、蝶窦8/48(16.7%)、额窦3/48(6.3%),侵袭眼眶17/48(35.4%)、颅底6/48(12.5%)。单因素分析:综合治疗(P=0.009)、放疗(P=0.014)可明显改善患者预后,病变侵犯蝶窦(P=0.027)、颅底(P=0.002)提示患者预后不良,多因素COX回归分析示侵犯颅底为预后的独立危险因素(P=0.008),与未侵犯颅底的患者相比,侵犯颅底的患者死亡风险更高,HR=8.940(95%CI:1.756~45.506)。 结论 鼻腔鼻窦骨外尤文肉瘤(Extra-skeletal Ewing Sarcoma, EES)好发于青年女性,症状以鼻塞、鼻出血/涕中带血多见,病变范围主要累及鼻腔、上颌窦、筛窦,可侵及眼眶、颅底,病变侵犯颅底为死亡的独立危险因素,治疗以化疗联合放疗的综合治疗为主。     

原发性鼻腔-鼻窦砂粒体型脑膜瘤1例报道并文献复习

目的 通过报道1例原发于鼻腔-鼻窦砂粒体型脑膜瘤患者的临床资料及相关文献复习,以提高临床医师对该病的认识及诊疗水平.方法 患者,女,50岁,因"渐进性右侧鼻塞1年余"入院.术前影像学检查提示右侧鼻腔及筛窦内不规则占位性病变,遂在全麻鼻内镜下行右侧鼻腔筛窦肿物切除术.结果 肿物完全切除,术后病理及免疫组化确诊为砂粒体型脑...