Liao B S, Hilsinger R L, Chong E
Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, CA 94611-5693.
Ear Nose Throat J. 1993 Dec;72(12):781-2.
A 43-year-old woman had left midfacial pain and a left intranasal mass. Pathologists from three different institutions agreed that the biopsy specimens from the mass represented squamous cell carcinoma. The final pathologic diagnosis made from the resected specimen was pleomorphic adenoma of the septum. This report describes a case which was initially misdiagnosed on the basis of misleading tissue biopsy results, but the excised tumor was finally diagnosed as pleomorphic adenoma. Otolaryngologists treating an intranasal mass must be aware of the difficulty of correctly diagnosing the initial tissue biopsy specimen in order to guard against unnecessary radical surgery.
一名43岁女性出现左侧面部中部疼痛和左侧鼻腔肿物。来自三个不同机构的病理学家一致认为，该肿物的活检标本为鳞状细胞癌。切除标本的最终病理诊断为鼻中隔多形性腺瘤。本报告描述了一例最初因误导性的组织活检结果而被误诊，但切除的肿瘤最终被诊断为多形性腺瘤的病例。治疗鼻腔肿物的耳鼻喉科医生必须意识到正确诊断初始组织活检标本的困难，以避免不必要的根治性手术。
