Barth H, Godbersen G S, Schlüter E, Blömer U, Mahnke C G
Klinik für Neurochirurgie, Christian-Albrechts-Universität, Kiel.
Zentralbl Neurochir. 1997;58(4):187-91.
Case report of a 29-year-old woman with an psammomatoid ossifying fibroma of the left frontal sinus. Headache was the presenting clinical symptom. The tumor and its intracranial extension were identified by computed tomography and magnetic resonance tomography. Through a two-step combined neuro-rhinosurgical operation the tumor could be completely removed. Ossifying fibroma is a benign tumor mostly affecting the mandible and maxilla. A more aggressive approach may be more beneficial than expectant observation or curettage in the initial management of this benign neoplasm. Because of the unusual location of this rare entity the case history is published and differential diagnostic and therapeutical implications are discussed.
一名29岁女性左额窦砂粒体样骨化性纤维瘤的病例报告。头痛是主要临床症状。通过计算机断层扫描和磁共振断层扫描确定了肿瘤及其颅内扩展情况。通过两步联合神经鼻科手术，肿瘤得以完全切除。骨化性纤维瘤是一种主要累及下颌骨和上颌骨的良性肿瘤。在这种良性肿瘤的初始治疗中，积极的治疗方法可能比观察等待或刮除术更有益。由于这种罕见实体的位置不寻常，现将病例报告发表，并讨论鉴别诊断和治疗意义。
