Wu Judy, Schulte Jefree, Yang Carina, Baroody Fuad, Ginat Daniel Thomas
Department of Radiology, Pritzker School of Medicine, University of Chicago, 5841 S Maryland Avenue, Chicago, IL, 60637, USA.
Department of Pathology, Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Head Neck Pathol. 2016 Jun;10(2):213-6. doi: 10.1007/s12105-015-0632-2. Epub 2015 May 5.
Hairy polyps of the nasopharynx display characteristic radiological imaging findings, including the presence of fat in the polypoid mass. Furthermore, diagnostic imaging is useful for delineating the site of origin of these lesions, which can facilitate surgical planning. For instance hairy polyps that arise from the right Eustachian tube can be amputated via a trans-nasal approach with endoscopy, but may necessitate a two stage approach in order to avoid injury to critical structures, such as the internal carotid artery. On histology, hairy polyps comprise an outer keratinizing squamous epithelium with adnexal tissue, including hair follicles, and central fibroadipose and cartilaginous tissue. These features are exemplified in this sine qua non radiology-pathology correlation article.
鼻咽部毛发状息肉具有特征性的放射影像学表现，包括息肉样肿物内存在脂肪。此外，诊断性影像学对于明确这些病变的起源部位很有用，这有助于手术规划。例如，起源于右侧咽鼓管的毛发状息肉可通过鼻内镜经鼻入路切除，但可能需要分两期进行手术，以避免损伤重要结构，如颈内动脉。在组织学上，毛发状息肉由外层角化鳞状上皮和附属组织（包括毛囊）以及中央纤维脂肪和软骨组织组成。这篇必不可少的放射学与病理学相关性文章中就例证了这些特征。
