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一例鼻旁窦血管脂肪瘤。

A case of paranasal sinus angiolipoma.

作者信息

Pfannenstiel Travis J, Boseley Mark, Roach Latonia

机构信息

Department of Otolaryngology, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200, USA.

出版信息

Laryngoscope. 2003 Jun;113(6):1080-1. doi: 10.1097/00005537-200306000-00031.

Abstract

OBJECTIVE

To present the first documented case of an angiolipoma of the maxillary sinus, our treatment of the patient, and the 1-year follow-up results. At the conclusion of the report, the reader should be able to discuss the incidence, treatment options, and long-term prognosis of angiolipomas of the paranasal sinuses.

STUDY DESIGN

A case study reporting on a single patient with the diagnosis of maxillary sinus angiolipoma.

METHODS

Review of diagnostic studies, the operative technique, and the patient's chart for the 1-year period after treatment.

RESULTS

The patient remains free of disease 1 year after definitive surgical treatment.

CONCLUSIONS

Angiolipomas are exceedingly rare in this location. The accepted treatment for this disease in other regions of the body consists of wide local excision with close follow-up. The extent of the disease found in this patient required a medial maxillectomy for en bloc resection. We would advocate such an approach for other physicians who are faced with a patient with this rare diagnosis.

摘要

目的

介绍首例上颌窦血管脂肪瘤的文献记载病例、我们对该患者的治疗以及1年的随访结果。在报告结尾,读者应能够讨论鼻窦血管脂肪瘤的发病率、治疗选择和长期预后。

研究设计

一项针对诊断为上颌窦血管脂肪瘤的单一患者的病例研究。

方法

回顾诊断性研究、手术技术以及治疗后1年期间患者的病历。

结果

确定性手术治疗1年后,患者无疾病复发。

结论

血管脂肪瘤在该部位极为罕见。在身体其他部位,这种疾病公认的治疗方法是广泛局部切除并密切随访。该患者所发现疾病的范围需要进行上颌骨内侧切除术以整块切除。对于其他面对这种罕见诊断患者的医生,我们提倡采用这种方法。

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