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[鼻腔及鼻窦嗅神经母细胞瘤的诊断与治疗]

[Diagnosis and treatment of esthesioneuroblastoma in the nasal cavity and sinuses].

作者信息

Cheng Chao, Long Xiao bin

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2010 Oct;30(10):2402-3, 2405.

Abstract

OBJECTIVE

To discuss the clinical characteristics, diagnosis and treatment of esthesioneuroblastoma (ENB).

METHODS

The clinical data of 7 patients with ENB were analyzed retrospectively, and the clinical characteristics, diagnosis, surgical approaches and prognosis of the disease were discussed.

RESULTS

The 7 patients received surgical treatment combined with radiotherapy and chemotherapy. Tumor relapse occurred within one year in two cases, which were treated with a second operation combined with radiotherapy, and one patient died and one survived with tumor after a one-year follow-up.

CONCLUSION

Early diagnosis of ENB can be difficult. Transnasal-frontal approach with nasal endoscope is effective approach to ENB treatment, and the patients may benefit from postoperative radiotherapy and chemotherapy to improve the prognosis.

摘要

目的

探讨嗅神经母细胞瘤(ENB)的临床特征、诊断及治疗方法。

方法

回顾性分析7例ENB患者的临床资料,探讨该病的临床特征、诊断、手术方式及预后。

结果

7例患者均接受了手术治疗并联合放化疗。2例患者在1年内出现肿瘤复发,接受了二次手术并联合放疗,1例患者死亡,1例患者随访1年后带瘤生存。

结论

ENB早期诊断可能困难。鼻内镜经鼻-额入路是治疗ENB的有效方法,患者术后接受放化疗可能有助于改善预后。

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