鼻咽多形性腺瘤的治疗：一例报告。
Management of pleomorphic adenoma in the nasopharynx: a case report.
机构信息
Department of Otorhinolaryngology, Bakirkoy Dr.Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
Department of Otorhinolaryngology, Selcuk University Faculty of Medicine, Konya, Turkey.
出版信息
Balkan Med J. 2015 Jan;32(1):118-20. doi: 10.5152/balkanmedj.2015.15503. Epub 2015 Jan 1.
BACKGROUND
Pleomorphic adenomas (PAs) are the most common type of benign salivary gland tumours and usually originate from the major salivary glands. PA originating from the nasopharynx has rarely been reported in the literature.
CASE REPORT
A 62 year-old male presented with right aural fullness and subjective hearing loss. Otoscopic examination revealed an opaque and bulging tympanic membrane. Nasal endoscopic examination revealed a smooth mass arising from the right wall of the nasopharynx, obstructing the opening of the right Eustachian tube. The MRI showed a 1.3×2×1.3 cm sharply outlined and lobar mass in the right lateral wall of the nasopharynx. The tumour was meticulously detached from its attachment site and excised via the transnasal route under endoscopic visualisation.
CONCLUSION
We reported pleomorphic adenoma in the nasopharynx in a patient who presented with serous otitis media that successfully resected with transnasal endoscopic surgery and discussed the treatment methods.
背景
多形性腺瘤（PA）是最常见的良性涎腺肿瘤，通常起源于大涎腺。文献中很少报道起源于鼻咽部的 PA。
病例报告
一名 62 岁男性因右耳饱满和主观听力损失就诊。耳镜检查显示鼓膜不透明和膨出。鼻内窥镜检查显示来自鼻咽右侧壁的光滑肿块，阻塞了右侧咽鼓管的开口。MRI 显示在鼻咽右侧外侧壁有一个 1.3×2×1.3cm 边界清晰的分叶状肿块。肿瘤在鼻内镜下仔细从附着部位分离并通过经鼻途径切除。
结论
我们报告了 1 例以浆液性中耳炎为表现的鼻咽部多形性腺瘤，经经鼻内镜手术成功切除，并讨论了治疗方法。
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