Kimmelman C P
Otolaryngol Head Neck Surg. 1981 Sep-Oct;89(5):713-6. doi: 10.1177/019459988108900503.
A 51-year-old woman complained of intermittent nasal obstruction and rhinorrhea. Sinus roentgenograms and polytomograms revealed a small mucocele of the right sphenoid sinus. There was no encroachment of the orbital apex or intracranial contents. The mucocele was marsupialized via an external ethmoidectomy, and the scant tissue present inside the sinus was examined histologically. The pathologic diagnosis was hemangiopericytoma. The small tumor had apparently originated at the sinus ostium, thus creating the mucocele. Several months postoperatively, a small, vascular tumor nodule was noted in the incision. No recurrence was evident intranasally. A course of 5,040 rads of external beam radiation therapy was given to the right ethmoid labyrinth and right sphenoid. Since completing her radiation therapy, there has been no recurrence. This case is of interest because the tumor occurred as a mucocele of the sphenoid sinus.
一名51岁女性主诉间歇性鼻塞和流涕。鼻窦X线片和断层摄影显示右侧蝶窦有一个小黏液囊肿。眶尖和颅内结构未受侵犯。通过外部筛窦切除术对黏液囊肿进行袋形缝合，并对窦腔内少量组织进行组织学检查。病理诊断为血管外皮细胞瘤。小肿瘤显然起源于鼻窦开口处，从而形成黏液囊肿。术后数月，在切口处发现一个小的血管性肿瘤结节。鼻内未见复发迹象。对右侧筛窦迷路和右侧蝶窦进行了5040拉德的外照射放疗。自完成放疗以来，未出现复发。该病例之所以有趣，是因为肿瘤表现为蝶窦黏液囊肿。
