Łukomski Marek, Obrebka Renata, Starska Katarzyna, Pietruszewska Wioletta, Durko Marcin, Pajor Anna, Gryczyński Maciej, Józefowicz-Korczyńska Magdalena
I Katedra Otolaryngologii UM w Łodzi.
Otolaryngol Pol. 2008;62(5):574-7. doi: 10.1016/S0030-6657(08)70317-2.
Papilloma of the nose and paranasal sinuses is a benign tumor originated from nose mucosa. Especially inverted papilloma tumor has a significant recurrence and malignancy potential rate. The aim of the study was the analysis of clinical and treatment outcomes of patients with papilloma of the nose and paranasal sinuses.
The retrospective analysis was curried out on 41 patients--16 with papiloma of the nasal vestibule and 25 with inverted papilloma the nose and paranasal sinuses surgically treated in I ENT Clinic Medical University in Lodz between 1998-2004 years. We analyzed patient's complains, clinical data and surgical follow-up results.
The most frequent complains was increasing unilateral nasal obstruction and rhinorhea. Nasal vestibule papilloma were intranasal removed in all cases. In extended tumor nose and paranasal sinuses in 14 cases intranasal procedures, in 7 sublabial approached, in 4 lateral rhynothomy were performed. In 5 patient local recurrences was observed and in 3 neoplasmatic transformation.
The choice of surgical management should be individual with respect to tumor localization and extension of neoplasmatic process. The treatment result depends of radical tumor resection.
鼻及鼻窦乳头状瘤是一种起源于鼻黏膜的良性肿瘤。特别是内翻性乳头状瘤具有较高的复发率和恶变潜能。本研究旨在分析鼻及鼻窦乳头状瘤患者的临床及治疗结果。
对1998年至2004年在罗兹医科大学第一耳鼻喉科诊所接受手术治疗的41例患者进行回顾性分析,其中16例为鼻前庭乳头状瘤,25例为鼻及鼻窦内翻性乳头状瘤。我们分析了患者的主诉、临床资料及手术随访结果。
最常见的主诉是单侧鼻塞加重和鼻溢液。所有病例的鼻前庭乳头状瘤均经鼻内切除。对于累及鼻腔及鼻窦的肿瘤,14例行鼻内手术,7例行唇下进路,4例行外侧鼻切开术。5例患者出现局部复发,3例发生肿瘤恶变。
手术治疗方式的选择应根据肿瘤的位置及病变范围个体化决定。治疗效果取决于肿瘤的根治性切除。