| 鼻部横纹肌肉瘤12例临床分析 |
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| 引用本文： | 林炘,林歆胜,林佳伟,杨楚,李创伟. 鼻部横纹肌肉瘤12例临床分析[J]. 山东医大基础医学院学报, 2009, 0(4): 15-17 |
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| 作者姓名： | 林炘 林歆胜 林佳伟 杨楚 李创伟 |
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| 作者单位： | 中山大学附属汕头医院汕头市中心医院耳鼻咽喉-头颈外科; |
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| 摘 要： | 目的探讨鼻腔、鼻窦横纹肌肉瘤的临床特征、诊疗方法及预后。方法回顾性分析12例鼻部横纹肌肉瘤的临床资料,原发于鼻腔2例,上颌窦3例,筛窦1例,以上颌窦、筛窦为中心向周围膨胀侵犯4例,原发部位不明2例;单纯手术切除2例,手术加放疗加化疗8例,化疗加放疗2例;采用鼻内窥镜手术6例,鼻侧切开术4例,同期颈清扫5例。结果随访1年、3年生存率分别为75.0%（9/12）、33.3%（4/12）;7例1年内复发,其中5例行挽救性手术,2例放弃再次治疗。结论鼻部横纹肌肉瘤预后差,早期诊断、广泛手术切除、综合治疗能提高生存率;鼻内窥镜手术能减少手术创伤,对早期病例有一定优越性。
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| 关 键 词： | 鼻肿瘤 横纹肌肉瘤 外科手术 |
Clinical analysis on 12 cases of nasal rhabdomyosarcoma |
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| LIN Xin,LIN Xin-sheng,LIN Jia-wei,YANG Chu,LI Chuang-wei. Clinical analysis on 12 cases of nasal rhabdomyosarcoma[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2009, 0(4): 15-17 |
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| Authors: | LIN Xin LIN Xin-sheng LIN Jia-wei YANG Chu LI Chuang-wei |
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| Affiliation: | Department of Otorhinolaryngology &Head and Neck Surgery;Shantou Central Hospital;the Affiliated Shantou Hospital of Sun Yat-sen University;Shantou 515031;Guangdong;China |
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| Abstract: | Objective To discuss the clinical character,diagnosis,treatment and prognosis of nasal rhabdomyosarcoma(RMS).Methods Integrated with a literature review,12 cases of nasal rhabdomyosarcoma were analyzed retrospectively.The RMS originated from the nasal cavity,in 2 cases,maxillary sinus in 3 cases,and ethmoid sinus in 1 case,and 4 infiltrated into the maxillary sinus and ethmoid sinus in 4 cases.The primary site was not clear in 2 cases.2 cases were treated only by operation,8 by operation,radiotherapeutics a... |
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| Keywords: | Nose neoplasms Rhabdomyosarcoma Surgical procedures |
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