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原发性鼻咽息肉:罕见临床实体的病例系列

Primary nasopharyngeal polyps: a case series on a rare clinical entity.

作者信息

Chen De Hua, Mo Mu Qiong, Ng Chew Lip, Lin Zhi Bin, Li Tian Ying, Wen Wei Ping, Li Chun Wei

机构信息

Department of Otorhinolaryngology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Department of Allergy, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

出版信息

Eur Arch Otorhinolaryngol. 2017 Oct;274(10):3659-3665. doi: 10.1007/s00405-017-4682-9. Epub 2017 Jul 26.

Abstract

Primary non-neoplastic polyps originating from the nasopharynx have not been reported in the English language literature. We present the clinical and histopathological features of three primary nasopharyngeal polyps. Clinical data of three patients with primary nasopharyngeal polyps treated at the Department of Otolaryngology, The First Affiliated Hospital of Sun Yat-sen University between 2005 and 2015 were analyzed and presented. Three male patients from 45 to 63 years presented with nasopharyngeal masses. CT or MRI examination showed nasopharyngeal space-occupying lesions. Two patients were initially diagnosed with nasopharyngeal angiofibroma and one patient with nasopharyngeal carcinoma. After surgical excision, based on the histological examination, the tissue masses were all diagnosed as inflammatory polyps. Histologically, the polyps demonstrated significant oedema, collagen deposition, leukocytic infiltration, and epithelial remodelling. Primary nasopharyngeal polyps represent a distinct clinical entity and should be considered in the differential diagnosis of nasopharyngeal masses.

摘要

英文文献中尚未报道过起源于鼻咽部的原发性非肿瘤性息肉。我们展示了3例原发性鼻咽息肉的临床和组织病理学特征。分析并展示了2005年至2015年间在中山大学附属第一医院耳鼻咽喉科接受治疗的3例原发性鼻咽息肉患者的临床资料。3例年龄在45至63岁之间的男性患者均表现为鼻咽部肿物。CT或MRI检查显示鼻咽部占位性病变。2例患者最初被诊断为鼻咽血管纤维瘤,1例患者被诊断为鼻咽癌。手术切除后,根据组织学检查,所有组织肿块均被诊断为炎性息肉。组织学上,息肉表现出明显的水肿、胶原沉积、白细胞浸润和上皮重塑。原发性鼻咽息肉代表一种独特的临床实体,在鼻咽部肿物的鉴别诊断中应予以考虑。

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