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本文报告一例极为罕见的25年后复发性上颌窦癌。患者男性,82岁,1977年11月就诊。左鼻阻塞、流涕,左面部肿胀,无面痛而有复视,近数月左耳聋。患者曾于1953年因左侧上颌腺癌而行放疗,并于治疗前作过鼻内窦造口术,但未能永久保存造口。检查:左面颊部肿胀,左鼻腔充满粉红色息肉样物,伴粘脓性分泌物。鼻咽部有些粘脓液并有异常肿块充斥左后鼻孔,颈结不肿大。左眼复视系因肿瘤增大眶底升高所致,视力无障碍。左耳鼓膜暗淡,有渗出性中耳炎,呈传导性聋。鼻窦X线相与临床检查相符,并可见窦侧壁和内壁骨质被侵蚀。在后鼻孔处活检证实为明细胞癌(clearcell carcinoma),除腺体减少和
This article reports an extremely rare case of recurrent maxillary sinus cancer after 25 years. The patient was male, 82 years old, and presented in November 1977. Left nose obstruction, runny nose, left facial swelling, no face pain and diplopia, left ear deafness in recent months. The patient had undergone radiotherapy for left maxillary adenocarcinoma in 1953 and had an intranasal sinusostomy before treatment. However, the stoma was not preserved permanently. Examination: swelling of the left cheek, left nasal cavity filled with pink polypoid material, with purulent discharge. The nasopharynx had some sticky pus and an abnormal mass filling the left posterior nostril and the neck was not swollen. Diplopia of the left eye is caused by an increase in the depth of the orbital floor and visual impairment. The tympanic membrane of the left ear is dark with otitis media with exudative effusion and is conductive. The sinus radiography was consistent with the clinical examination and showed that the sinus lateral wall and inner wall bone were eroded. Biopsy at the posterior nostril proved to be clearcell carcinoma, except for gland reduction and