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鼻咽畸胎瘤罕见,我院自1982年以来收治的畸胎瘤66例中,仅有2例是鼻咽畸胎瘤,现报告如下: 例1:男、13岁,学生,自幼双侧鼻腔通气不畅,张口呼吸,睡觉时打鼾,并时常憋气惊醒。说话鼻音重,进食呛咳,咽干,经常流黄脓涕,有臭味。于1990年7月2日入院。检查、咽部可见一灰白色肿物自悬垂后上方垂下,鼻甲用肾上腺素收缩后,从前鼻孔见双侧后鼻孔处有灰白色圆形肿物,阻塞后鼻孔。1％地卡因表面麻醉后,用圈套器经口咽部摘除肿物。肿物巨大。4×5×2cm,蒂长0.7cm,呈分叶状,表面粗糙,质韧。切开肿物,见内含软骨,病理报告为“成熟型囊性畸胎瘤”。鼻咽纤维镜检查,蒂部在鼻中隔后缘。
Nasopharyngeal teratocarcinoma rare in our hospital since 1982 teratoma treated 66 cases, only 2 cases of nasopharyngeal teratoma, are reported as follows: Example 1: male, 13 years old, students, young twin Poor nasal ventilation, mouth breathing, snoring sleep, and often suffocate awake. Talk nasal weight, eating cough, dry throat, often yellow purulent tears, stink. On July 2, 1990 admitted. Check, pharyngeal visible an off-white gray matter hanging from the top after the turbinates with adrenaline contraction, the former nostrils to see both sides of the nostril after a gray-white round tumor, blocking the nostril. After anesthesia with 1% dexamethasone, the neoplasm was removed with a snare. Massive tumor. 4 × 5 × 2cm, pedicle length 0.7cm, lobulated, surface roughness, toughness. Cut the tumor, see the cartilage, pathology report as “mature cystic teratoma.” Nasopharyngeal fibroids, pedicle in the posterior edge of the nasal septum.