鼻腔间叶性软骨肉瘤一例

间叶性软骨肉瘤是低度的恶性肿瘤,原发于鼻腔者罕见,我们收治1例。 患者,女,18岁。因左侧鼻塞半年,伴同侧鼻衄1月入院,半年前出现左侧鼻塞,进行性加重,伴同侧头痛,近1月来左鼻腔间断性鼻衄,每次量约50ml,左侧嗅觉丧失。门诊以“左鼻腔纤维瘤”收住院。体检:一般情况尚好,颈部表浅淋巴结未     

鼻中隔原发性软骨肉瘤1例

鼻中隔原发软骨肉瘤极为少见，尚无ＭＲＩ影像详细报道。该文报道１例，患者４８岁男性，数年前自觉鼻塞感，未行处置。于数月前鼻塞感加重而就诊。既往史和家族史，以及血液、生化学所见无特殊记录。ＣＴ所见，鼻腔充满软骨性肿瘤阴影，骨影像可见肿瘤边缘部小片状的钙化和压迫鼻腔外侧壁。ＭＲＩ所见Ｔ；加权像呈现较脑灰白质稍低的信号，Ｔ２加权像示不均匀的高信号强度。造影ＭＲＩ上，可见被膜和内部的网状造影效果。手术摘除肿瘤，肿瘤具有被膜，可见淡红色的软骨组织。病理组织所见许多岛状的软骨组织，并被血管丰富的纤维性隔壁包围…     

鼻腔多发性软骨肉瘤1例

患者 ,女 ,5 3岁。因发现鼻根右侧进行性肿大15年 ,于 2 0 0 2年 8月 2 5日收治入院。体检 :心、肺、腹无明显异常。鼻根右侧及右眉弓内侧局限性隆起 ,可触及一 2 .0cm× 2 .0cm大肿物 ,质硬 ,稍有活动 ,表面光滑 ,无明显压痛 ,但按压时感同侧眼球胀痛 ,眼球无移位 ,视力正常。鼻中隔后端近鼻腔底亦可见一 1.5cm× 1.5cm大肿物 ,表面光滑 ,质硬 ,无活动 ,触之无出血。双侧鼻甲形态正常 ,鼻道内无新生物。CT示右侧眼眶、后组筛窦、上颌窦及鼻中隔后端可见 4个散在高密度结节影 ,呈分叶状 ,与周围组织分界清 ,中心有钙化 ,无坏死。诊断为鼻、…     

鼻腔鼻窦软骨肉瘤1例

1 临床资料患者,女,22岁.因双侧渐进性鼻塞10年余于2016年8月10日入我院就诊.患者双侧鼻腔渐进性鼻塞10年余,伴嗅觉减退.半年前患者自觉左侧面部麻木,2周前出现左侧鼻腔出血,间歇性左侧头痛,晨起左眼痛,自诉无视力下降,复视.鼻内镜检查见:鼻中隔向右偏曲,推挤右侧下鼻甲,右侧中鼻甲、中鼻道未窥及.左侧鼻腔见圆形新生物,向左推挤左侧中鼻甲及下鼻甲(图1A).眼科检查左眼矫正视力1.0,右眼矫正视力1.0,无视野缺损.神经系统检查未见异常.     

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）。     

颈静脉孔黏液样软骨肉瘤1例

1临床资料患者,男,29岁,因左舌体萎缩,声音嘶哑6月,进食呛咳1月,于2003-02-21日收治入院。查体:左舌体萎缩,伸舌舌尖偏左,左侧软腭活动稍差,悬雍垂居中,会厌正常,左侧声带旁正中位固定,右侧声带活动好,发音时声门有裂隙。左鼓膜完整,声导抗为“A”型,纯音测听:左耳4000Hz骨导与     

鼻腔鼻窦软骨肉瘤9例临床分析

目的：提高对发生于鼻腔鼻窦的软骨肉瘤的诊治水平。方法：回顾性分析9例鼻腔鼻窦软骨肉瘤患者的临床资料。结果：鼻腔鼻窦软骨肉瘤的临床病理特征复杂且差别较大，4例继发性鼻腔鼻窦软骨肉瘤患者比原发性患者病变广泛且接近颅底，预后较差，不规则的斑块状钙化点是本病典型的影像学特点。9例均是经行部分或全部肿块切除后病理确诊，病理学分级以I级多见。结论：结合既往史，临床表现和CT检查，尽早手术探查行部分或全部肿块切除术有助于早期诊断和提高疗效。     

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).     

鼻腔及上颌窦软骨肉瘤

鼻腔及上颌窦软骨肉瘤邱建新，沙群，郑红梅鼻腔和上颌窦软骨肉瘤较罕见，我科共收治２例报告如下。１病例报告例１男，４７岁。因右下颌肿块渐增大４年，伴右眼失明、胀痛入院。３０年前曾诊断鼻腔软骨肉瘤在外院行手术治疗，２０年后复发，再先后３次行右上颌骨切除肿瘤...     

Endoscopic removal of a nasal septum chondrosarcoma

We describe an alternative, endoscopical technique for the surgical removal of a rare chondrosarcoma on the nasal septum. The technique requires a resection of the whole tumour within margins in healthy osteocartilaginous nasal septum under endoscopic guidance and includes bilateral middle turbinectomy and ethmoidectomy. We present the case of a 57-year-old woman with a well-differentiated chondrosarcoma (Grade I) of the nasal septum. Endoscopical surgery resulted without any cosmetic deformity problems, and the functional result was favourable. No recurrence was evidenced after a follow-up of 3 years. The main advantages of this technique are the excellent functional and cosmetic results without any surgical reconstructive techniques. This approach may provide a minimally invasive method to remove well-differentiated, low-grade (Grade I) and size limited malignant cartilaginous tumours of the nasal septum.     

鼻中隔骨纤维结构不良一例

患者男，15岁，于7个月前反复出现双侧鼻腔间歇性鼻塞，偶有涕中带血，无头痛、无鼻腔脓性分泌物及嗅觉减退，有鼻腔局部胀痛，曾多次在当地医院就诊，均诊断为慢性鼻炎、腺样体炎，经药物干预无效。2个月前患者双侧鼻塞呈持续性，并进行性加重，于2006年10月18日来我院就诊，门诊拟诊为：①鼻中隔良性占位性病变；②蝶窦囊肿；③鼻中隔纤维血管瘤。患者既往体健，家属否认有鼻部外伤史。     

Pleomorphic adenoma of the nasal septum: a case report

Pleomorphic adenomas arise most commonly in the major salivary glands; the minor salivary glands are affected in only 8% of the cases. Intranasal pleomorphic adenoma being extremely rare originates most commonly from the nasal septum. We present a case of a 55-year-old man who presented with complaints of right-sided nasal obstruction and occasional nasal bleed for the last 6 months. Examination showed a mucosa-covered, fleshy 2 x 2 x 1.5 cm mass in the right nasal cavity. Computed tomogram showed right-sided polypoidal mass with attachment to the cartilaginous nasal septum without any erosion of the surrounding structures. The clinical presentation, gross and microscopic appearance, and treatment of intranasal pleomorphic adenoma is briefly discussed.     

Chondrosarcoma arising in the nasal septum: a case report

A rare case of chondrosarcoma arising in the nasal septum, which appeared in an eighty-year-old female, was reported. The tumor extended bilaterally in the nasal cavity and to the skull base. Radiation therapy was performed for the patient, considering of her age. Histological findings including electron micrograph were shown, and pertinent literatures were reviewed to discuss clinicopathological features of the tumor.     

Endoscopic resection of a nasal septal chondrosarcoma: first report of a case

Advances in endoscopic sinus surgery technique and technology have provided the otolaryngologist with a wide array of surgical options for the management of nasal and paranasal sinus diseases that were once limited to procedures requiring invasive surgery. We describe the case of a patient with a chondrosarcoma of the posterior nasal septum that was resected endoscopically. There have been fewer than 30 reports in the English-language literature of chondrosarcomas arising at this location, and the reported approaches to surgical excision in these case involved craniofacial procedures, facial degloving, facial splitting, and maxillectomy techniques. Until now, no case of endoscopic removal has been reported.     

Chondrosarcoma of the nasal septum: A case report

Chondrosarcoma make up only 10–20% of malignant primary bone tumors, with 5–10% located in the head and neck (Downey TJ, Clark SK, Moore DW. Chondrosarcoma of the nasal septum. Otolaryngol Head Neck Surg 2001;125:98–100), and nasal septal chondrosarcoma is extremely rare. Surgical excision is the only curative treatment and radiation and chemotherapy have a limited role for palliation. We used a navigation system in endoscopic surgery without complications for a case of chondrosarcoma of the nasal septum by means of a midfacial degloving approach at primary operation and an external incision approach at salvage operation for local recurrence. To our knowledge, this is the first report of the use of such a system for this surgical approach along with a salvage operation. We discuss the clinical presentation, diagnosis, and treatment of this case as well as present a review of the literature.     

鼻中隔神经纤维瘤一例报告

正1病历资料患者女,22岁,因"左侧进行性鼻塞5年余"入院,查体:鼻中隔略右偏,无血肿,鼻中隔左侧有一1.5 cm×1 cm大肿物,肿物表面光滑,未见明显色素沉着或红肿破溃,触痛不明显,左侧中鼻道及嗅裂无法窥及;右侧鼻腔黏膜略有充血,无撕裂。患者全身分布大小不等的牛奶咖啡斑及孤立神经纤维瘤,瘤体质略韧,呈囊实性。实验室检查:未见明显手术禁     

Choanal polyp originating from the nasal septum: a case report

Almost all nasal polyps originate from the mucosa of the lateral walls of the nasal cavity or from the paranasal sinuses. A choanal polyp is the intranasal portion of a cyst that has arisen from the wall of the maxillary sinus near the ostium. Medially based polyps, such as those that arise from the nasal septum, are rare. The literature cites a wide range of incidence rates for polyps originating from this structure, but choanal extension of this type of polyp is extremely unusual. This report describes a polyp that arose from the superior aspect of the posterior nasal septum and extended through the choana into the nasopharynx. The histology of this choanal lesion was typical of nasal polyps, but the site of origin is rare. The ethiopathogenesis of nasal polyps with its common location remains controversial so it is difficult to speculate what mechanism triggered the development of this lesion on the nasal septum. Some form of local inflammation may have induced choanal polyp formation at this atypical site.