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鼻中隔巨大多形性腺瘤的内镜治疗;病例报告

Endoscopic management of huge pleomorphic adenoma of the nasal septum; a case report.

作者信息

Sigdel Brihaspati, Pokhrel Amrit, Ranabhat Sunita, Kc Sabin

机构信息

Department of Otolaryngology & Head and Neck Surgery, Gandaki Medical College & Consultant ENT Surgeon, Metrocity Hospital, Pokhara, Nepal.

Medical Officer, Metrocity Hospital, Pokhara, Nepal.

出版信息

Ann Med Surg (Lond). 2022 Apr 29;77:103697. doi: 10.1016/j.amsu.2022.103697. eCollection 2022 May.

Abstract

INTRODUCTION

and Importance: Pleomorphic adenoma (PA) is one of the most common benign tumors of the salivary glands. They can develop in all the salivary glands, but it most commonly occurs in the parotid gland, followed minor salivary gland. It may occurs at the hard and soft palate, lips, cheeks, gingiva, and nasal septum. PA of the nasal septum is a rare tumor.

CASE PRESENTATION

72-year-old female was diagnosed with pleomorphic adenoma of the nasal septum which was successfully treated by endoscopic endonasal surgical excision.

CLINICAL DISCUSSION

Pleomorphic adenoma of the nasal septum was rare tumor may mimic with hemangioma of nose. Diagnostic nasal endoscopy, Computerized tomography and Magnetic resonance imaging are diagnostic to see extent and vascularity of tumor. Endoscopic endonasal approach with microdebrider can help removal of tumor.

CONCLUSION

Pleomorphic adenoma of nasal septum is a rare diagnosis may mimic hemangioma. Endoscopic endonasal approach with microdebrider can be performed in highly vascular masses of the nose in selected cases.

摘要

引言

及重要性:多形性腺瘤(PA)是唾液腺最常见的良性肿瘤之一。它们可在所有唾液腺中发生,但最常发生于腮腺,其次是小唾液腺。它可能发生于硬腭和软腭、嘴唇、脸颊、牙龈和鼻中隔。鼻中隔多形性腺瘤是一种罕见的肿瘤。

病例报告

一名72岁女性被诊断为鼻中隔多形性腺瘤,通过鼻内镜鼻内手术切除成功治疗。

临床讨论

鼻中隔多形性腺瘤是一种罕见肿瘤,可能与鼻血管瘤相似。诊断性鼻内镜检查、计算机断层扫描和磁共振成像有助于了解肿瘤的范围和血管情况。带有微型清创器的鼻内镜鼻内入路有助于切除肿瘤。

结论

鼻中隔多形性腺瘤是一种罕见诊断,可能与血管瘤相似。在某些选定病例中,对于鼻部血管丰富的肿块可采用带有微型清创器的鼻内镜鼻内入路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6876/9142708/18098ce1f50c/gr1.jpg

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