摘要
目的探讨鼻腔神经鞘瘤的临床特征、诊断方法及治疗。方法回顾分析1995年3月~2017年2月收治的15例鼻腔神经鞘瘤的临床资料。结果鼻腔神经鞘瘤表面可见皮肤或黏膜血管扩张,全部病例术前行MRI或CT检查,4例符合,术前经鼻腔肿物活检明确诊断为神经鞘瘤3例,8例术中冰冻病理会诊提示梭形细胞肿瘤(神经鞘瘤可能)。完全切除肿瘤后鼻外形及鼻腔功能恢复良好,无并发症发生,术后随访1~5年不等,未见复发。结论术前鼻内镜、CT或MRI检查有助于作出初步诊断,确诊则有赖于病理检查,手术彻底切除肿瘤是本病最有效的治疗方法。
OBJECTIVE To investigate the clinical manifestations, diagnosis methods and treatment of nasal schwannoma. METHODS Retrospective analysis of the clinical data of 15 cases of nasal schwannoma treated between March 1995 and February 2017. RESULTS Vascular dilation of the skin or mucous membranes can be seen on the surfaces of nasal schwannomas, and all cases were examined by MRI or CT before operation. 4 cases were comfirmed. 3 cases were diagnosed by nasal biopsy before operation, and 8 cases were suggested spindle cell tumors by intraoperative frozen pathology(possibly schwannomas). After complete resection of the tumor, the nasal shape and function of the nasal cavity recovered well without complications.No recurrence occurred in 1 to 5 years of follow-up. CONCLUSION Preoperative intranasal endoscopy, CT or MRI examination are helpful to make a preliminary diagnosis. Definite diagnosis depends on pathological examination. The most effective treatment is thorough surgical resection of the tumor.
作者
吴国民
沈春莲
吴奕
虞义建
WU Guomin;SHEN Chunlian;WU Yi;YU Yijian(Department of Otolaryngology;Department of Pathology,Tai Zhou Hospital of Zhejing Province,Taizhou Enze Medical Center(Group),Taizhou,Zhejiang,317000,China)
出处
《中国耳鼻咽喉头颈外科》
CSCD
2018年第10期544-546,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
鼻肿瘤
神经鞘瘤
耳鼻喉外科手术
Nose Neoplasms
Neurilemmoma
Otorhinolaryngologic Surgical Procedures