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鼻腔巨大多形性腺瘤误诊为内翻性乳头状瘤

A Large Pleomorphic Adenoma in Nasal Cavity Misdiagnosed as Inverted Papilloma.

机构信息

Departments of Otorhinolaryngology-Head and Neck Surgery.

Pathology.

出版信息

J Craniofac Surg. 2024;35(1):e16-e18. doi: 10.1097/SCS.0000000000009646. Epub 2023 Aug 28.

Abstract

Pleomorphic adenoma (PA) is a benign tumor characterized by slow-growing mixed tumors in the craniofacial area. It is relatively common in salivary glands; however, PA of the nasal cavity, which arises in the minor salivary glands, is rare. We present the case of a large PA in the nasal cavity of an adult immunocompetent woman with nasal obstruction and intermittent epistaxis. Based on preoperative radiologic examinations, she was misdiagnosed with an inverted papilloma. Endoscopic resection was performed under general anesthesia. Pathologically, the patient was confirmed to have PA, which has great cellularity and few stromal components. No complications or recurrences during the 1-year follow-up period were observed.

摘要

多形性腺瘤(PA)是一种良性肿瘤,其特征为头面部缓慢生长的混合瘤。它在唾液腺中较为常见;然而,发生在小唾液腺中的鼻腔多形性腺瘤则较为罕见。我们报告了一例成人免疫功能正常女性鼻腔内大的多形性腺瘤,表现为鼻塞和间歇性鼻出血。基于术前影像学检查,她被误诊为内翻性乳头状瘤。在全身麻醉下进行了内镜下切除术。病理证实患者患有多形性腺瘤,细胞丰富,间质成分较少。在 1 年的随访期间,未观察到任何并发症或复发。

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