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内翻性乳头状瘤是鼻腔鼻窦常见的良性肿瘤,约占鼻腔鼻窦乳头状瘤的70%,约占全部鼻腔鼻窦肿瘤的0.5%~4%。内翻性乳头状瘤虽是一种良性肿瘤,但有术后复发及恶变倾向,我科收治1例额窦内翻性乳头状瘤术后恶变复发,报告如下。患者,女,56岁。分别于2009年7月及2012年5月在当地医院行“鼻内镜下鼻腔乳头状瘤切除手术”。本次因“鼻阻伴头痛2个月”于2013年5月31日来我院求治。入院后鼻内镜检查发现:左侧鼻腔术后改变,额隐窝处可见肿物生长,触之质脆,易出血。磁共振检查发现左侧额窦内软组织影充满窦腔。病理提示为鳞状细胞癌。遂行眉弓、鼻内联合进路,完整切除肿物,刮除其附着处黏膜,磨除肿瘤附着处表层骨质,术毕。
Inverted papilloma is a common benign tumor of nasal sinus, accounting for about 70% of nasal sinus papilloma, accounting for about 0.5% to 4% of all nasal sinus tumors. Although inverted papilloma is a benign tumor, but there are postoperative recurrence and malignant tendency, we treated one case of frontal sinus inverted papilloma recurrence of malignancy, the report is as follows. Patient, female, 56 years old. Respectively in July 2009 and May 2012 in the local hospital “endoscopic nasal papilloma resection surgery.” The “nasal resistance with headache for 2 months ” on May 31, 2013 to our hospital for treatment. Endoscopic examination found that after admission: the left nasal cavity after surgery, the frontal crypt visible tumor growth, touch the crisp, easy bleeding. Magnetic resonance imaging found that the left frontal sinus soft tissue shadow filled sinus. Pathology prompted squamous cell carcinoma. Carry out eyebrow arch, intranasal joint approach, complete removal of the tumor, curettage of mucosal adhesions attached thereto, remove the surface of the tumor attached to the surface of bone, surgery completed.