Tall A, Diouf R, Ndiaye I, Diallo K, Diop E M
Clinique ORL du CHU de Dakar, Hôpital A. Le Dantec, Sénégal.
Dakar Med. 1998;43(2):139-43.
24 cases of ethmoid tumors collected between January 1st, 1990 and June 30th, 1996 were reported. The analysis of epidemiological, clinical and therapeutic aspects showed the following elements: the average age was 25 years with an equal repartition between men and women, a delay in consultation with an average of 2 years, 41.7% of patients consulted mostly for non rhinological signs, on the therapeutic aspect, surgery was performed on 95.8% of the patients with ethmoidectomy by external way. In 50% of cases, the removal was extended to one or many sinuses, 61.2% of tumors were benign to the histological analysis, one patient died immediately after operations. In the short run, we observed 2 cases of persistence of the carcinoma. In the long run, a recurrence of mucocele was noticed. Because of late consultation, limits of preoperative assessment notably for radiology, therapeutic approach is difficult, the improvement of technical infrastructures, the use of scanner in particular, should allow a better codification of the therapeutic indications.
报告了1990年1月1日至1996年6月30日期间收集的24例筛窦肿瘤病例。对流行病学、临床和治疗方面的分析显示了以下情况:平均年龄为25岁,男女比例均等,就诊延迟平均为2年,41.7%的患者主要因非鼻科症状就诊,在治疗方面,95.8%的患者接受了经外部途径的筛窦切除术。在50%的病例中,切除范围扩展至一个或多个鼻窦,61.2%的肿瘤经组织学分析为良性,1例患者术后立即死亡。短期内,观察到2例癌持续存在。长期来看,发现有黏液囊肿复发。由于就诊延迟,术前评估尤其是影像学评估存在局限性,治疗方法存在困难,技术基础设施的改善,特别是使用扫描仪,应能更好地对治疗指征进行分类。