论文部分内容阅读
嗅神经母细胞瘤是一种罕见的发生在鼻腔顶部的恶性肿瘤。现将我们收治5例分析报道如下。临床资料1.病例来源:均为门诊或住院病人,女4例,男1例。年龄1 2/(12)～64岁。2.临床表现:患侧鼻塞、鼻出血或涕中带血丝4例,眼球突出、视力下降2例,鼻背、面颊部隆起2例。病程1个月～4年不等。5例均发现鼻腔肿物。肿物色暗红或灰暗,质中,3例表面粗糙,2例光滑。1例右下颌角淋巴结转移(病理证实)。鼻窦X线照片发现骨质破坏2例,1例报告为“上颌窦炎”,1例“鼻窦尚未发育”。计算机X线断层扫描(CT)1例诊断为“筛窦囊肿”,1例“筛窦癌或嗅神经母细胞瘤”。
Olfactory neuroblastoma is a rare malignancy that occurs at the top of the nasal cavity. Now we treat 5 cases of analysis and report as follows. Clinical data 1. Case Source: All outpatients or inpatients, 4 females and 1 male. Age 12/(12) to 64 years old. 2. Clinical manifestations: There were 4 patients with nasal congestion, nose bleeding, or bloody sputum in the affected side, 2 cases of eyeball protrusion, vision loss, and 2 cases of nasal dorsum and cheek bulge. Duration of disease varies from 1 month to 4 years. Nine cases of nasal cavity were found. The mass was dark red or grey, and in the mass, 3 cases had rough surface and 2 cases were smooth. One case of right chin corner lymph node metastasis (pathological confirmation). The sinus radiography found bone destruction in 2 cases, 1 case was reported as “maxillary sinusitis”, and 1 case “sinus sinus was not developed”. One case of computed tomography (CT) was diagnosed as “ethmoid cyst” and one case of “ethmoid sinus cancer or olfactory neuroblastoma.”