Saha Jayanta, Basu Asim Jiban, Sen Indranil, Sinha Ramanuj, Bhandari Achintya Kr, Mondal Satadal
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(3):243-6. doi: 10.1007/s12070-011-0275-x. Epub 2011 Jun 14.
Rhinosporidiosis is a chronic inflammatory disease common in India and Sri Lanka. Its manifestations are mostly nasal, though extranasal ones in head and neck region are not rare. Occasionally these presentations lead to diagnostic dilemma. Here we present some cases with its associated confusions if any. In this study thirty five patients were included. Extranasal manifestations were noted in nine cases. Two patients attended with laryngopharyngeal and one with lacrimal sac presentation-subsequent nasal endoscopic examination revealed presence of nasal masses, too. Other six cases presented with polypoidal mass hanging from nasopharynx into oropharynx. One of them was confused with nasopharyngeal angiofibroma. Two laryngopharyngeal masses were removed successfully with rigid laryngoscope followed by cauterisation of the base. The solitary lacrimal sac mass was excised by external approach combined with nasal endoscope guided excision of nasal mass. The other six cases with nasopharyngeal attachment were subjected to nasal endoscope guided removal. In all these cases, the base of the lesions was cauterised. The experience about the various manifestations and diagnostic problems is discussed here.
鼻孢子虫病是一种在印度和斯里兰卡常见的慢性炎症性疾病。其表现大多累及鼻部，不过头颈部的鼻外表现也并不罕见。这些表现偶尔会导致诊断困境。在此我们呈现一些伴有相关困惑（若有的话）的病例。本研究纳入了35例患者。9例有鼻外表现。2例因喉咽病变就诊，1例因泪囊病变就诊，随后的鼻内镜检查显示也存在鼻腔肿物。其他6例表现为从鼻咽部垂入口咽部的息肉样肿物。其中1例曾被误诊为鼻咽血管纤维瘤。2例喉咽肿物通过硬喉镜成功切除，随后对基底进行烧灼。孤立的泪囊肿物通过外部入路联合鼻内镜引导下切除鼻腔肿物的方式切除。其他6例伴有鼻咽部附着肿物的患者接受了鼻内镜引导下切除。在所有这些病例中，均对病变基底进行了烧灼。本文讨论了关于各种表现及诊断问题的经验。
