Huang D L
PLA General Hospital, Beijing.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(4):233-5, 253.
Inflammatory pseudotumor is uncommon in the field of otorhinolaryngology. It is often misdiagnosed as a malignant tumor and undergone radical operation because of its extensive infiltration and bony destruction. Three cases of primary pseudotumor of the nose are reported in this paper. Two of them had involved the nasal cavity and sinuses, orbit and anterior cranial fossa. Reports of such extensive inflammatory pseudotumor has been few in Chinese and foreign literatures. The tumor is sensitive to cortical hormone therapy. An extensive lesion not being confirmed pathologically as a malignant neoplasm should be suspected of inflammatory pseudotumor and can be tentatively treated with cortical hormone, radical operation should be avoided until a diagnosis of malignant tumor is established.
炎性假瘤在耳鼻咽喉科领域较为少见。因其广泛浸润及骨质破坏,常被误诊为恶性肿瘤并接受根治性手术。本文报道3例原发性鼻炎性假瘤。其中2例累及鼻腔鼻窦、眼眶及前颅窝。中外文献中关于如此广泛的炎性假瘤的报道较少。该肿瘤对皮质激素治疗敏感。对于未经病理证实为恶性肿瘤的广泛病变,应怀疑炎性假瘤,并可试行皮质激素治疗,在确诊为恶性肿瘤之前应避免进行根治性手术。