Tao Ze-Zhang, Chen Shi-Ming, Liu Jian-Feng, Huang Xiao-Lin, Zhou Lin
Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Int J Pediatr Otorhinolaryngol. 2005 Oct;69(10):1415-8. doi: 10.1016/j.ijporl.2005.03.027.
Paranasal sinuses chordoma is rare in pediatric patients. We report a case of a 15-month-old patient who presented with a nasal mass, accompanied by gradual nasal obstruction since 3 months of age. A 3.2 cmx2.2 cmx3.0 cm neoplasm was found in left maxillary sinus, ethmoid sinus and nasal cavity by CT scans. Surgery was performed through endonasal endoscopic approach under general anesthesia. Both histological examination of the biopsy and the tissue removed by surgery revealed a chordoma. No tumor has recurred during the 3-year follow-up. With total removal of the tumor, the endonasal endoscope is a safe approach with facial features remaining undestroyed.
小儿患者的鼻窦脊索瘤较为罕见。我们报告一例15个月大的患者,该患者自3个月大起出现鼻腔肿物,并伴有逐渐加重的鼻塞。CT扫描发现左上颌窦、筛窦和鼻腔有一个3.2 cm×2.2 cm×3.0 cm的肿瘤。在全身麻醉下通过鼻内镜入路进行了手术。活检组织和手术切除组织的组织学检查均显示为脊索瘤。在3年的随访期间未出现肿瘤复发。通过肿瘤全切,鼻内镜是一种安全的入路,面部特征得以保留。