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21岁患者以慢性头痛为表现的蝶窦内翻性乳头状瘤:病例报告及文献综述

Sphenoid Inverted Nasal Papilloma Presenting as Chronic Headaches in a 21-Year-Old Patient: A Case Report and Literature Review.

作者信息

Gonzalez Claudia, Fernandez Isamar, Batista Jordy, Durán Diana, Gonzalez Massiel

机构信息

School of Medicine, Pontificia Universidad Católica Madre y Maestra, Santiago, DOM.

School of Medicine, Universidad Iberoamericana (UNIBE), Santo Domingo, DOM.

出版信息

Cureus. 2024 Jul 24;16(7):e65262. doi: 10.7759/cureus.65262. eCollection 2024 Jul.

Abstract

An inverted papilloma is a rare, benign tumor that affects the nasal cavity and paranasal sinuses. The maxillary and ethmoid sinuses are the most commonly affected, while the involvement of the sphenoid sinus is rare and may be associated with malignancy. We describe the case of a 21-year-old female who presented with recurring headaches along with dizziness, difficulty concentrating, mild hypoacusis, and occasional nasal congestion. A CT of the sinuses showed a soft tissue lesion in the sphenoidal sinus with extension into the posterior ethmoidal cells. After the biopsy, the patient was ultimately diagnosed with sphenoid inverted nasal papilloma.

摘要

内翻性乳头状瘤是一种罕见的良性肿瘤,累及鼻腔和鼻窦。上颌窦和筛窦是最常受累的部位,而蝶窦受累罕见,且可能与恶性肿瘤相关。我们描述了一名21岁女性的病例,她出现反复头痛,伴有头晕、注意力不集中、轻度听力减退和偶尔的鼻塞。鼻窦CT显示蝶窦有一个软组织病变,并延伸至后组筛窦。活检后,患者最终被诊断为蝶窦内翻性鼻乳头状瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb6/11342577/378330c4a8c3/cureus-0016-00000065262-i01.jpg

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