蝶窦黏液瘤：病例报告及文献综述
Sphenoid sinus myxoma: case report and literature review.
作者信息
Moore Brian A, Wine Todd, Burkey Brian B, Amedee Ronald G, Butcher R Brent
出版信息
Ochsner J. 2008 Winter;8(4):166-71.
OBJECTIVES
We present the first known case in the English-language literature of a myxoma arising in the sphenoid sinus. By describing the patient's clinical course and the salient features of this rare neoplasm, we seek to increase the awareness of the presentation, histological features, and treatment considerations for myxomas of the head and neck. In the process, we intend to describe the work-up of isolated sphenoid sinus lesions and focus on the varying and evolving techniques for surgical access to the sphenoid sinus.
STUDY DESIGN AND METHODS
Case report and literature review.
RESULTS
We describe the clinical course of a patient with a myxoma of the sphenoid sinus. The patient underwent an external sphenoethmoidectomy through a lateral rhinotomy approach with medial maxillectomy under MRI-guidance. He remains without evidence of recurrent disease after 8 months.
CONCLUSIONS
Myxomas of the head and neck are rare neoplasms. Their infiltrative nature and tendency to recur demand an aggressive surgical approach that may be accomplished with minimal morbidity using currently available image-guided techniques.
目的
我们报告英文文献中首例蝶窦黏液瘤病例。通过描述该患者的临床病程及这种罕见肿瘤的显著特征，我们旨在提高对头颈部黏液瘤的临床表现、组织学特征及治疗考量的认识。在此过程中，我们打算描述孤立性蝶窦病变的检查方法，并重点介绍蝶窦手术入路的各种不断发展的技术。
研究设计与方法
病例报告及文献综述。
结果
我们描述了一名蝶窦黏液瘤患者的临床病程。该患者在MRI引导下，通过外侧鼻切开术联合内侧上颌骨切除术接受了外蝶筛窦切除术。8个月后，他仍无疾病复发迹象。
结论
头颈部黏液瘤是罕见肿瘤。其浸润性本质及复发倾向需要积极的手术方法，利用现有的影像引导技术可将手术并发症降至最低。
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