论文部分内容阅读
目的:探讨鼻部神经鞘瘤的诊治经验,以期对该疾病的诊断及治疗提供指导。方法:对9例鼻部神经鞘瘤患者的临床表现、病理及免疫组织化学特征、手术及预后情况进行分析。结果:9例患者多因压迫或占位症状就诊,影像学检查多无特异性。除1例多发性神经鞘瘤患者拒绝治疗外,余均采取手术治疗,且术后极少复发。病理诊断以S-100蛋白表达强阳性为特点。结论:鼻部神经鞘瘤的临床表现无特异性;影像学对于手术范围及肿瘤的良恶性有指导意义;确诊依靠常规病理及免疫组织化学;手术是唯一有效的治疗方法,手术的选择主要取决于病灶部位,预后佳。
Objective: To explore the diagnosis and treatment of nasal schwannoma experience in order to provide guidance on the diagnosis and treatment of the disease. Methods: Nine cases of nasal nerve sheath tumors in patients with clinical manifestations, pathological and immunohistochemical characteristics, surgery and prognosis were analyzed. Results: Most of the 9 patients were treated by oppression or space-occupying symptom. There was no specific imaging examination. All but one of the patients with multiple schwannoma refused treatment. Surgical treatment was performed after operation, and relapse rarely occurred after operation. Pathological diagnosis is characterized by a strong positive expression of S-100 protein. Conclusion: The clinical manifestations of nasal schwannoma are nonspecific. The imaging is of guiding significance for the scope of the surgery and the benign and malignant tumors. The diagnosis depends on routine pathology and immunohistochemistry. Surgery is the only effective treatment. The choice of surgery depends mainly on In the lesion, the prognosis is good.