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鼻孢子虫病:引起眼球突出的罕见病因及鼻窦肿物的影像学诊断难题

Rhinosporidiosis: A Rare Cause of Proptosis and an Imaging Dilemma for Sinonasal Masses.

作者信息

Dey Amit Kumar, Sharma Rajaram, Mittal Kartik, Kumar Puneeth, Murumkar Vivek, Mitkar Sumit, Hira Priya

机构信息

Department of Radiology, King Edward Memorial Hospital and Seth G.S. Medical College, Room No. 107, KEM Main Boy's Hostel, Parel, Mumbai 400012, India.

出版信息

Case Rep Otolaryngol. 2016;2016:3573512. doi: 10.1155/2016/3573512. Epub 2016 Nov 30.

Abstract

Rhinosporidiosis is a common disease entity in tropical countries; however, it can be encountered in other parts of the world as well due to increasing medical tourism. It may mimic other more malignant and vigorous pathologies of the involved part. We present a case of a 36-year-old male presenting with proptosis due to involvement of nasolacrimal duct which is rare. We will discuss typical CT and MRI features of the disease which were present in the case. For a surgeon and a radiologist, this is a necessary differential to be kept in mind for sinonasal masses. CT and MRI are invaluable investigations. However, FNAC is confirmatory. Both clinical and radiological aspects are required to reach correct diagnosis.

摘要

鼻孢子虫病在热带国家是一种常见的疾病实体;然而,由于医疗旅游的增加,在世界其他地区也可能遇到。它可能会模仿受累部位的其他更恶性和严重的病变。我们报告一例36岁男性因鼻泪管受累出现眼球突出的病例,这种情况较为罕见。我们将讨论该病例中出现的该病典型的CT和MRI特征。对于外科医生和放射科医生来说,这是鼻窦肿块需要牢记的一个必要鉴别诊断。CT和MRI是非常有价值的检查。然而,细针穿刺抽吸活检(FNAC)具有确诊意义。正确诊断需要临床和影像学两方面的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc3/5155101/6d6ca65bcc00/CRIOT2016-3573512.001.jpg

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