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起源于下鼻甲的平滑肌瘤的恶性转化

Malignant Transformation of a Leiomyoma Originating From the Inferior Turbinate.

作者信息

Park Hye-Jin, Koo Soo Kweon, Choi Kyung-Un, Cho Kyu-Sup

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea.

Department of Otorhinolaryngology-Head and Neck Surgery, Busan Saint Mary's Hospital, Busan, Republic of Korea.

出版信息

J Rhinol. 2025 Jul;32(2):108-112. doi: 10.18787/jr.2025.00028. Epub 2025 Jul 22.

DOI:10.18787/jr.2025.00028
PMID:40744702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313534/
Abstract

Leiomyosarcoma (LMS) is a malignant tumor of smooth muscle origin that is most frequently found in the uterus and gastrointestinal tract. LMS involving the head and neck is rare, accounting for only 2.3% of all cases. In this region, LMS tends to be more aggressive and is associated with a poorer prognosis compared to its gastrointestinal counterparts. Furthermore, LMS of the nasal cavity and paranasal sinuses is extremely rare. Here, we present a case of malignant transformation of a leiomyoma originating from the inferior turbinate, which was successfully treated with endoscopic tumor resection followed by postoperative radiotherapy.

摘要

平滑肌肉瘤(LMS)是一种起源于平滑肌的恶性肿瘤,最常见于子宫和胃肠道。累及头颈部的LMS较为罕见,仅占所有病例的2.3%。在该区域,与胃肠道的LMS相比,头颈部LMS往往更具侵袭性,预后较差。此外,鼻腔和鼻窦的LMS极其罕见。在此,我们报告一例起源于下鼻甲的平滑肌瘤恶变病例,该病例通过内镜肿瘤切除及术后放疗成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/9d6ed6855fa6/jr-2025-00028f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/4a02c3041caa/jr-2025-00028f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/6b9975175715/jr-2025-00028f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/5307809e5d5f/jr-2025-00028f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/9d338d95006a/jr-2025-00028f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/99b9f4213c63/jr-2025-00028f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/491d41ab4770/jr-2025-00028f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/9d6ed6855fa6/jr-2025-00028f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/4a02c3041caa/jr-2025-00028f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/6b9975175715/jr-2025-00028f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/5307809e5d5f/jr-2025-00028f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/9d338d95006a/jr-2025-00028f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/99b9f4213c63/jr-2025-00028f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/491d41ab4770/jr-2025-00028f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f3/12313534/9d6ed6855fa6/jr-2025-00028f7.jpg

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本文引用的文献

1
Leiomyosarcoma of sphenoid sinus- A rare tumor at an unusual site.蝶窦平滑肌肉瘤——一种罕见的发生于不常见部位的肿瘤。
J Cancer Res Ther. 2024 Jan 1;20(1):485-487. doi: 10.4103/jcrt.jcrt_1883_22. Epub 2024 Mar 29.
2
Leiomyosarcoma of the Nasal Cavity and Paranasal Sinuses: A Case Report and Comprehensive Review of the Literature.鼻腔和鼻窦平滑肌肉瘤:病例报告及文献复习。
Head Neck Pathol. 2022 Sep;16(3):918-927. doi: 10.1007/s12105-022-01427-8. Epub 2022 Feb 14.
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Leiomyosarcoma of the Nasal Cavity.鼻腔平滑肌肉瘤
Ear Nose Throat J. 2022 Jun;101(5):NP218-NP221. doi: 10.1177/0145561320961204. Epub 2020 Sep 21.
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Leiomyosarcoma: a rare sinonasal malignancy.平滑肌肉瘤:一种罕见的鼻窦恶性肿瘤。
BMJ Case Rep. 2018 Mar 27;2018:bcr-2017-224110. doi: 10.1136/bcr-2017-224110.
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Leiomyosarcoma of the nasal cavity. Case report and literature review.鼻腔平滑肌肉瘤。病例报告及文献综述。
ORL J Otorhinolaryngol Relat Spec. 1996 Mar-Apr;58(2):115-20. doi: 10.1159/000276810.