鼻咽部圆柱细胞乳头状瘤
Nasopharyngeal cylindrical cell papilloma.
作者信息
Chrysovergis A, Paschalidis J, Michaels L, Bibas A
机构信息
First Department of Otolaryngology - Head and Neck Surgery, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece.
出版信息
J Laryngol Otol. 2011 Jan;125(1):86-8. doi: 10.1017/S0022215110002094. Epub 2010 Oct 14.
INTRODUCTION
Cylindrical cell papillomas are rare tumours which usually arise in the sinonasal region.
CASE REPORT
We report a case of a nasopharyngeal cylindrical cell papilloma in a 56-year-old man who presented with a four-month history of right-sided hearing loss, otalgia, vertigo and tinnitus. Investigation revealed a soft, nodular lesion obstructing the pharyngeal opening of the right eustachian tube; this was treated by wide endoscopic excision.
CONCLUSION
Cylindrical cell papilloma is a possible cause of eustachian tube obstruction in adults. Effective treatment of these lesions usually requires wide endoscopic excision, in order not to miss coexistent carcinoma.
引言
柱状细胞乳头状瘤是罕见肿瘤，通常发生于鼻窦区域。
病例报告
我们报告一例56岁男性的鼻咽柱状细胞乳头状瘤，该患者有四个月的右侧听力丧失、耳痛、眩晕和耳鸣病史。检查发现一个柔软的结节状病变阻塞右侧咽鼓管咽口；通过广泛的内镜切除进行治疗。
结论
柱状细胞乳头状瘤是成人咽鼓管阻塞的可能原因。有效治疗这些病变通常需要广泛的内镜切除，以免遗漏并存的癌。
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