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下鼻甲浆液黏液性错构瘤:一例报告

Seromucinous hamartoma of inferior turbinate: A case report.

作者信息

Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul

机构信息

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Hwasun, South Korea.

出版信息

Medicine (Baltimore). 2018 Nov;97(45):e13022. doi: 10.1097/MD.0000000000013022.

Abstract

RATIONALE

Seromucinous hamartoma is a rare benign glandular proliferation of the sinonasal tract and nasopharynx, and the majority of lesions occur on the posterior nasal septum.

PATIENT CONCERNS

The patient had complaints of rhinorrhea, sneezing, and itching for a number of years, and recurrent right nasal bleeding for which the patient underwent endoscopic removal of a right inferior turbinate tumor. The biopsy result was low-grade, non-intestinal type adenocarcinoma, and the patient was referred to our hospital.

DIAGNOSIS AND INTERVENTIONS

An endoscopic medial maxillectomy of the right nasal cavity was performed. The histopathological analysis of the nasal mass revealed a seromucinous (glandular) hamartoma.

OUTCOMES

The postoperative course was unremarkable. The patient has been followed up regularly for 1 year with no additional treatment and no recurrence.

LESSONS

Seromucinous hamartoma of the nasal cavity is extremely rare, especially in anterior portion of nasal cavity. It is important to distinguish seromucinous hamartoma from adenocarcinoma and to maintain regular long-term follow-up.

摘要

理论依据

浆液黏液性错构瘤是鼻窦和鼻咽部一种罕见的良性腺性增生,大多数病变发生在鼻中隔后部。

患者情况

患者多年来一直有流涕、打喷嚏和瘙痒症状,并有反复右侧鼻出血,为此患者接受了内镜下右侧下鼻甲肿瘤切除术。活检结果为低级别、非肠型腺癌,患者被转诊至我院。

诊断与干预

对右侧鼻腔进行了内镜下上颌骨内侧切除术。对鼻腔肿物的组织病理学分析显示为浆液黏液性(腺性)错构瘤。

结果

术后过程顺利。患者已定期随访1年,未进行额外治疗且无复发。

经验教训

鼻腔浆液黏液性错构瘤极为罕见,尤其是在鼻腔前部。将浆液黏液性错构瘤与腺癌区分开来并进行定期长期随访很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beaf/6250520/bc55c25fbc72/medi-97-e13022-g001.jpg

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