Liu J L, Zhang L Y, Yao D F, Li J E
Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Oct 20;31(20):1570-1574. doi: 10.13201/j.issn.1001-1781.2017.20.007.
To study the clinical features and nasal image of children with nasal tumors.The samples of 40 cases of pediatric nasal tumors, which were diagnosed based on pathology, were collected. Clinical features, pathological histology and imaging characteristics were also summarized.There were 23 cases of benign tumors and 17 cases of malignancy. The most common benign tumors were angiofibroma (7 cases), capillary hemangioma (4 cases) and ossifying fibroma (4 cases), while the most common malignant tumors were lymphoma (10 cases) and embryonal rhabdomyosarcoma (3 cases). In all cases, 10 tumors arose from sinus, 7 tumors limited in the nasal cavity or nasal vestibule, 8 tumors located in sinonasal, 10 tumors are originated from nasopharyngeal area and (or) postnaris, 3 cases located in the lateral nasal, 2 cases located in the nasal septum. CT or MRI found that 13 cases showed bone destruction, 5 cases showed bone absorption, 14 cases involvement of adjacent structure, 6 cases with cervical lymph node enlargement.The common nasal tumors in children include lymphoma, angiofibroma, capillary hemangioma, ossifying fibroma and embryonal rhabdomyosarcoma. Clinical manifestations of pediatric nasal tumors were atypical, the diagnosis mainly dependent on pathology and imaging examination. CT and MRI examination can well depict the site of tumors, the bone change of the around situation and the encroachment of the tumor accurately, and may play an important role in clinical diagnosis and staging of the tumors, constituting the treatment plan and prognosis evaluation.
研究儿童鼻腔肿瘤的临床特征及鼻影像学表现。收集40例经病理确诊的儿童鼻腔肿瘤病例样本,总结其临床特征、病理组织学及影像学特点。其中良性肿瘤23例,恶性肿瘤17例。最常见的良性肿瘤为血管纤维瘤(7例)、毛细血管瘤(4例)和骨化性纤维瘤(4例),最常见的恶性肿瘤为淋巴瘤(10例)和胚胎性横纹肌肉瘤(3例)。所有病例中,10例肿瘤起源于鼻窦,7例局限于鼻腔或鼻前庭,8例位于鼻窦鼻腔,10例起源于鼻咽部和(或)后鼻孔,3例位于鼻腔外侧,2例位于鼻中隔。CT或MRI检查发现13例有骨质破坏,5例有骨质吸收,14例累及相邻结构,6例有颈部淋巴结肿大。儿童常见的鼻腔肿瘤包括淋巴瘤、血管纤维瘤、毛细血管瘤、骨化性纤维瘤和胚胎性横纹肌肉瘤。儿童鼻腔肿瘤临床表现不典型,诊断主要依靠病理及影像学检查。CT及MRI检查能很好地准确显示肿瘤部位、周围骨质改变及肿瘤侵犯情况,对肿瘤的临床诊断、分期、制定治疗方案及预后评估可能具有重要作用。
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