肾透明细胞癌鼻腔-鼻窦转移1例报告及文献复习

Renal clear cell carcinoma transferred to nasal cavity and sinuses:A case report and literature review

目的:报道1例在鼻内镜下采用低温等离子行左鼻腔筛窦肿物切除术治疗肾透明细胞癌鼻腔鼻窦转移的病例,并进行相关文献复习。方法:鼻内镜下以双极电刀及等离子刀沿鼻腔外侧壁分离肿物,凡士林纱条反复压迫止血,剥离肿瘤并彻底清除。结果:术中快速冰冻切片回报为毛细血管瘤;术后病理回报:肾透明细胞癌鼻腔鼻窦转移。术后患者恢复顺利,术后3d取出鼻腔填塞物。结论:肾透明细胞癌鼻腔-鼻窦转移临床罕见,鼻内镜下低温等离子辅助切除鼻腔鼻窦转移癌,效果良好,具有可行性。

Objective： To report one case of renal clear cell carcinoma transferred to the nasal cavity and sinuses treated by low temperature coblation assisted nasal malignant tumor resection under nasal endoscopye, and to review the associated literatures. Methods： Under nasal endoscope, the tumor was removed along the lateral wall of the nasal cavity with bipolar electrocautery and coblation. The vaseline gauze was used to stop bleeding, and the tumor was completely removed. Results： The intraoperative frozen section showed a capillary hemangioma. The patient was diagnosed as metastatic renal cell carcinoma to the nasal cavity and sinuses by the results of pathology and immunohistochemical staining. The postoperative recovery was uneventful and the nasal packing was removed 3 d after operation. Conclusion： Renal clear cell carcinoma transferred to the nasal cavity and sinuses is rare; under nasal endoscope, surgical resection is a good procedure to control metastasis.