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筛窦腺癌。28例病例回顾并特别提及木尘暴露情况。

Adenocarcinoma of the ethmoid sinuses. A review of 28 cases with special reference to wood dust exposure.

作者信息

Klintenberg C, Olofsson J, Hellquist H, Sökjer H

出版信息

Cancer. 1984 Aug 1;54(3):482-8. doi: 10.1002/1097-0142(19840801)54:3<482::aid-cncr2820540317>3.0.co;2-v.

DOI:10.1002/1097-0142(19840801)54:3<482::aid-cncr2820540317>3.0.co;2-v
PMID:6733678
Abstract

Adenocarcinoma makes up only a small percent of all nasal and paranasal sinus carcinomas, and is most often found in the ethmoid sinuses. Adenocarcinoma of the ethmoid sinuses is known to be associated with exposure to wood dust. Twenty-eight patients with ethmoid adenocarcinomas were collected, mainly during the last decade from a region with approximately 900,000 inhabitants and with a large amount of furniture industries. There were 4 women and 24 men in the study. Twenty of the men were exposed to dust from hardwood for 20 to 55 years (mean, 40 years) which is in accord with other reports and supports data on the increased risk for workers of developing adenocarcinoma of the ethmoid sinuses when exposed to dust from hardwood. Radiologic diagnosis is necessary to delineate the extent of these tumours, and computerized tomography (CT) especially furnishes important information. Most patients received preoperative radiotherapy followed by surgery, 50% of them survived 5 years, which is in accord with other reports.

摘要

腺癌仅占所有鼻腔和鼻窦癌的一小部分,且最常发生于筛窦。已知筛窦腺癌与接触木屑有关。收集了28例筛窦腺癌患者,主要是在过去十年间从一个约有90万居民且有大量家具产业的地区收集的。研究中有4名女性和24名男性。其中20名男性接触硬木粉尘达20至55年(平均40年),这与其他报告一致,并支持了关于接触硬木粉尘的工人患筛窦腺癌风险增加的数据。放射学诊断对于确定这些肿瘤的范围很有必要,计算机断层扫描(CT)尤其能提供重要信息。大多数患者接受了术前放疗,然后进行手术,其中50%存活了5年,这与其他报告一致。

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