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鼻窦内翻性乳头状瘤的临床结局:139例回顾性分析

Clinical outcomes of sinonasal inverted papilloma: a retrospective analysis of 139 cases.

作者信息

Yeom S, Lee D H, Lim S C

机构信息

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

出版信息

J Laryngol Otol. 2023 Oct;137(10):1154-1157. doi: 10.1017/S0022215123000361. Epub 2023 Mar 6.

Abstract

OBJECTIVES

Sinonasal inverted papilloma has a high tendency for recurrence, local bone destruction and risk of malignant transformation. Therefore, complete resection of the tumour is required, and close follow up is essential. This article describes the clinical outcomes, recurrence rate and malignant transformation rate of sinonasal inverted papilloma.

METHODS

In this study, 139 patients diagnosed with sinonasal inverted papilloma in our hospital from December 2010 to May 2022 were retrospectively analysed. All patients underwent endoscopic surgery.

RESULTS

Sinonasal inverted papilloma occurred more often in males than in females. The mean age of patients with sinonasal inverted papilloma was 67.3 ± 5.7 years at diagnosis. The most prevalent site of origin was the maxillary sinus (50.4 per cent). The recurrence rate was 5.75 per cent, and the malignant transformation rate was 6.5 per cent.

CONCLUSION

All patients in this study underwent endoscopic surgery. Meticulous resection and regular long-term follow ups are crucial to reducing sinonasal inverted papilloma recurrence after surgery.

摘要

目的

鼻窦内翻性乳头状瘤具有较高的复发倾向、局部骨质破坏及恶变风险。因此,需要完整切除肿瘤,且密切随访至关重要。本文描述了鼻窦内翻性乳头状瘤的临床结局、复发率及恶变率。

方法

本研究对2010年12月至2022年5月在我院诊断为鼻窦内翻性乳头状瘤的139例患者进行回顾性分析。所有患者均接受了内镜手术。

结果

鼻窦内翻性乳头状瘤男性发病率高于女性。鼻窦内翻性乳头状瘤患者确诊时的平均年龄为67.3±5.7岁。最常见的起源部位是上颌窦(50.4%)。复发率为5.75%,恶变率为6.5%。

结论

本研究中的所有患者均接受了内镜手术。精细切除和定期长期随访对于降低鼻窦内翻性乳头状瘤术后复发至关重要。

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