小儿额窦弥漫性大B细胞淋巴瘤：一例报告

Pediatric Diffuse Large B-Cell Lymphoma of the Frontal Sinus: A Case Report.

作者信息

Knudson Sean Allen, Day Kristopher M, Harshbarger Raymond J

机构信息

1 Univeristy of Texas, College of Natural Sciences, Austin, TX, USA.

2 Department of Craniofacial and Pediatric Plastic Surgery, Dell Children's Medical Center of Central Texas, The University of Texas at Austin Dell Medical School, Austin, TX, USA.

出版信息

Cleft Palate Craniofac J. 2019 Sep;56(8):1089-1095. doi: 10.1177/1055665619831165. Epub 2019 Mar 5.

DOI:10.1177/1055665619831165

PMID:30836788

Abstract

An 11-year-old male presented with right proptosis, bulbar conjunctivitis, and diplopia. Computerized tomography (CT) and magnetic resonance imaging revealed an enhancing mass involving the superio-medial orbit, ethmoids, frontal sinus, and anterior cranial fossa with skull base destruction. Diffuse large B-cell lymphoma was diagnosed via CT-guided biopsy. As a component of multidisciplinary care, the patient underwent frontal sinus cranialization, with orbital and skull base reconstruction. Trauma reconstructive principles guided recreation of orbital, frontal sinus, and anterior skull base anatomy. This rare primary location is undescribed in the pediatric literature.

摘要

一名11岁男性患者出现右眼球突出、球结膜炎症和复视。计算机断层扫描（CT）和磁共振成像显示，一个强化肿块累及眶上内侧、筛窦、额窦和前颅窝，并伴有颅底破坏。通过CT引导下活检诊断为弥漫性大B细胞淋巴瘤。作为多学科治疗的一部分，该患者接受了额窦颅骨化手术，并进行了眼眶和颅底重建。创伤重建原则指导了眼眶、额窦和前颅底解剖结构的重建。这种罕见的原发部位在儿科文献中尚无描述。