一篇符合 CARE 标准的文章：一名女婴的鼻外神经胶质异位症：病例报告。
A CARE-compliant article: Extranasal glial heterotopia in a female infant: A case report.
作者信息
Gan Weigang, Xiang Yu, Tang Yiping, He Xinrong, Hu Juanjuan, Yang Fengjuan, Liu Shixi, Xian Junming, Meng Juan
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, West China Hospital, West China School of Medicine, Sichuan University, Chengdu Department of Otorhinolaryngology, Head and Neck Surgery, Affiliated Hospital of North Sichuan Medical College Morphometric Research Laboratory, North Sichuan Medical College Department of Otorhinolaryngology, Head and Neck Surgery, Nanchong Central Hospital Department of Pathology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
出版信息
Medicine (Baltimore). 2018 Sep;97(38):e12000. doi: 10.1097/MD.0000000000012000.
RATIONALE
Nasal glial heterotopia is a rare type of neoplasm consisting of meningothelial and/or neuroglial elements.
PATIENT CONCERNS
A 17-month-old female infant was evaluated for treatment for a congenital mass present since birth on the right side of the nasal dorsum.
DIAGNOSES
The patient was preoperatively diagnosed with a congenital extranasal neoplasm.
INTERVENTIONS
Surgery was performed under general anesthesia, and the mass was completely resected. The tissue was sent for histological examination, and the diagnosis was of extranasal glial heterotopia.
OUTCOMES
The surgical outcome was good, and no surgical site infection was recorded. After 6 months of follow-up, the girl was asymptomatic with no recurrence.
LESSONS
Surgical excision, a curative method used to address extranasal glial heterotopia, resulted in no recurrence during the clinical follow-up period. The potential for an intracranial connection must always be kept in mind when considering how to surgically treat a congenital midline mass to prevent the risk of cerebrospinal fluid leakage.
理论依据
鼻内神经胶质异位是一种罕见的肿瘤类型，由脑膜内皮和/或神经胶质成分组成。
患者情况
一名17个月大的女婴因自出生起就存在于鼻背右侧的先天性肿块前来评估治疗方案。
诊断
患者术前被诊断为先天性鼻外肿瘤。
干预措施
在全身麻醉下进行手术，肿块被完全切除。组织送去做组织学检查，诊断为鼻外神经胶质异位。
结果
手术效果良好，未记录到手术部位感染。经过6个月的随访，女孩无症状且无复发。
经验教训
手术切除是治疗鼻外神经胶质异位的一种治愈性方法，在临床随访期间未出现复发。在考虑如何手术治疗先天性中线肿块时，必须始终牢记存在颅内连接的可能性，以防止脑脊液漏的风险。
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