摘要
1病例报告患者,女,46岁,因＂右侧持续性鼻塞半个月＂入院。患者半个月前出现右侧鼻塞,持续性,伴嗅觉减退,右眼溢泪,右侧颞顶钝痛,无放射性,渐出现右耳鸣、耳闷、听力减退,右侧面部麻木,无鼻出血、牙齿松动及张口困难,无复视及视物模糊。体检：一般情况良好,心肺腹检查未见明显异常。专科检查：右侧鼻腔被荔枝样肿物充满,肿物突入鼻前庭,质脆,触之易出血;鼻中隔偏左,左侧鼻腔未见新生物。
We report a case of 46-year-old xanthoderm woman who was diagnosed as malignant peripheral nerve sheath tumors of right maxillary sinus,and have a literature review.Histology confirmed a diagnosis of malignant peripheral nerve sheath tumor.The woman had the right total maxillectomy and postoperative adjuvant radiotherapy.There is no local recurrence or metastasis of one year following up.Literature review revealed MPNST in the nasal cavity and para-nasal sinuses were not common with poor prognosis.The main cause of death is local recurrence and metastasis.Surgical resection showed more advantage than adjuvant radiotherapy and chemotherapy.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2014年第21期1711-1712,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
恶性外周神经鞘瘤
上颌窦
malignant peripheral nerve sheath tumors
maxillary sinus
