Department of E.N.T., the 3rd affiliated hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.
Ear Nose Throat J. 2024 Aug;103(8):NP476-NP478. doi: 10.1177/01455613211065990. Epub 2021 Dec 21.
Inflammatory myofibroblastic tumor (IMT) is a tumor composed of differentiated myofibroblastic spindle-shaped cells. It occurs in the soft tissues of the abdomen and lungs, and is very rare in the sphenoid sinus. The diagnosis depends on histopathology and immunohistochemistry, and is easily misdiagnosed. Although metastasis is rare, the recurrence rate is high. Surgical resection is the treatment of choice, and where complete resection is difficult, radiation therapy, hormonal therapy, or molecular targeted drug therapy can be administered. We report a rare case of IMT with a primary origin in the sphenoid sinus, which was entirely resected by nasal endoscopy and confirmed by histological examination.
炎性肌纤维母细胞瘤（IMT）是一种由分化的肌纤维母梭形细胞组成的肿瘤。它发生在腹部和肺部的软组织中，在蝶窦中非常罕见。诊断依赖于组织病理学和免疫组织化学，并且容易误诊。虽然转移很少见，但复发率很高。手术切除是治疗的首选方法，在难以完全切除的情况下，可以进行放射治疗、激素治疗或分子靶向药物治疗。我们报告了一例罕见的原发于蝶窦的 IMT 病例，该病例通过鼻内窥镜完全切除，并通过组织学检查证实。
