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作者报告1968年～1979年的44例筛窦恶性肿瘤的治疗方法及效果。44例中肉瘤5例,平均年龄32岁。癌肿36例,其中腺癌17例,平均年龄60岁;上皮棘细胞癌13例,平均年龄52岁;柱状细胞癌2例,平均年龄60岁;感觉神经细胞癌4例,平均年龄32岁。作者将肿瘤的位置分成三部分:筛窦前区,侵犯皮肤,压迫泪道,常有突眼,可向额窦发展:筛窦中区,侵犯鼻腔,表现为鼻阻,鼻衄,可向筛窦顶部发展;筛窦中后区,位置隐蔽,向外侵犯眶底,向后至蝶窦及鼻咽部,后内至筛板、中隔及对侧筛窦。32例癌肿经手术证实前、中、中后区分别为5、11及16例。
The authors report 44 cases of ethmoid sinus malignant tumors from 1968 to 1979. In 44 cases, there were 5 sarcomas with an average age of 32 years. 36 cases of cancer, including 17 cases of adenocarcinoma, the average age of 60 years old; epithelial spine cell carcinoma in 13 cases, the average age of 52 years; columnar cell carcinoma in 2 cases, the average age of 60 years; sensory nerve cell carcinoma in 4 cases, the average age of 32 years . The author divided the location of the tumor into three parts: the ethmoidal sinus area, invade the skin, oppress the lacrimal duct, and often exophthalmos, can develop to the frontal sinus: the ethmoid sinus area, invading the nasal cavity, manifested as nasal resistance, epistaxis, can be Development of the ethmoid sinus at the top; ethmoid sinus in the posterior area, hidden position, external violations of the orbital floor, back to the sphenoid sinus and nasopharynx, posterior to the sieve, septum and contralateral ethmoid sinus. In 32 cases of cancer, 5, 11 and 16 cases were confirmed by operation in the anterior, middle and posterior regions, respectively.