鼻内镜下切除鼻中隔低度恶性涎腺腺泡细胞癌1例

Nasal endoscope surgery of acinic cell carcinoma of salivary gland on nasal septum:a case report

患者,男,67岁,因＂鼻腔右侧反复鼻塞4年＂于2014年6月15日入院。4年前患者无明显诱因出现双侧鼻塞,以右侧为重,伴有黏液性鼻涕,偶有涕中带血,就诊于当地医院,诊断为鼻息肉,并给予鼻腔内注射药物（疑似硬化剂）,双侧鼻腔排出＂烂肉样＂物后鼻塞缓解。术后半年再次出现右侧鼻塞,仍按上述方法治疗后缓解。此后右侧鼻塞及鼻出血反复发作,每次均需到当地医院注射治疗,4年内反复治疗3~4次。

A 67-year-old male patient was admitted because of ＂the right side nasal obstruction repeatedly for 4 years＂.He got nasal obstruction 4 years ago,especially for the right side nasal cavity,sometimes got blood in his nasal discharge,then the symptom relieved after accepting treatment in local hospital.During the 4 years,the symptom repeatedly occurrence.Three days before hospitalization,the CT examination indicated abnormal things in his nasal cavity and the bone of his nasal sinus had been destroyed.Some abnormal organism were sent to pathological examination,and the report indicated it is acinic cell carcinoma of salivary gland.During the nasal endoscope surgery,a red goiter was found in his nose with its surface crude and brittle.Then we cut the goiter by nasal endoscope,during the operation we find the bottom of the goiter is on the nasal septum.Two weeks after the operation,the patient received the radiation therapy.One year after the operation he doesn′t get the abnormal symptom and the nasal MRI not found recidivation.