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摘要: 目的:探讨鼻腔鼻窦异位脑膜瘤的诊断与治疗方法。方法:对我科1990-01-2011-10有完整随访资料的8例鼻腔鼻窦异位脑膜瘤患者的临床资料进行分析。其中5例采用鼻侧切开术,2例采用鼻内镜下肿瘤切除术,1例为鼻内镜下联合柯陆进路手术,并对所有患者术后情况进行随访。结果:全部患者术后无并发症,随访6个月~22年,其中2例复发,分别在术后18个月和1年,经再次手术,未再复发。结论:鼻腔鼻窦异位脑膜瘤罕见,临床症状和体征无特异性,诊断困难。最终诊断需依赖组织学检查,免疫组织化学有助于进一步明确诊断。手术完整切除后预后良好。Abstract: Objective: To evaluate the diagnostic and therapeutic methods of sinonasal ectopic meningioma.Method: The clinical data of 8 patients treated in our department from Jan 1990 to Oct 2011 were retrospectively analysed. Among these patients,5 cases were treated by lateral rhinotomy approach;2 cases were treated by endoscopic plus modifided Caldwell-Luc technique;1 case was treated by endoscopic plus modifided Caldwell-Luc technique. All patients were followed up postoperativelly.Result: All patients had no complications after operation. All patients were followed up from six months to 22 years. Among them,two cases had recurred 18 months and one year postoperatively. The two cases did not recur after the second operation.Conclusion: Although sinonasal ectopic meningioma is difficult to diagnose because of their infrequent occurrence in this ectopic site and of their non-specific clinical appearance. The final diagnosis rests on the histological examination. Immunohistochemical studies are helpful to establish the accurate diagnosis. Prognosis is excellent after complete surgical resection.
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Key words:
- meningioma /
- nasal cavity /
- paranasal sinuses
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