鼻腔嗅裂区呼吸道上皮腺瘤样错构瘤的影像学分析

陈晴; 戴嵩

doi:10.13201/j.issn.1001-1781.2019.06.020

鼻腔嗅裂区呼吸道上皮腺瘤样错构瘤的影像学分析

陈晴¹,
戴嵩^2, ,

- 1 锦州医科大学解放军北部战区空军医院规培基地(沈阳, 110042);
- 2 中国人民解放军北部战区空军医院耳鼻咽喉科

详细信息

通讯作者: 戴嵩,E-mail:daisong1962@163.com

中图分类号: R730.26

收稿日期: 2018-12-11

Imaging analysis of respiratory epithelial adenomatoid hamartoma in the nasal olfactory clefts

CHEN Qing¹,
DAI Song^2, ,

- 1 The Educational Base of the Air Force Hospital from Northern Theater of PLA, Jinzhou Medical University, Shenyang, 110042, China;
- 2 Department of Otorhinolaryngology, the Air Force Hospital from Northern Theater of PLA

More Information

Corresponding author: DAI Song, E-mail: daisong1962@163.com

Received Date: 11 December 2018

摘要

摘要: 目的:分析鼻腔嗅裂区呼吸道上皮腺瘤样错构瘤(REAH)的影像学表现,指导临床诊断及治疗。方法:收集42例患者资料,经病理检查证实为鼻腔嗅裂区REAH,对其影像学特点进行分析。结果:所有患者病变均位于双侧嗅区,同时伴有不同程度的鼻窦炎、鼻息肉,鼻窦CT及MRI显示双侧鼻腔嗅区可见软组织呈膨胀性生长,挤压双侧中鼻甲,矢状位图像可见"盘"状改变。结论:REAH影像学表现具有一定特点,可为临床诊断提供依据。临床分析结合影像检查,可提高对REAH的诊断从而指导治疗。
- 嗅裂区 /
- 错构瘤 /
- 影像学
Abstract: Objective: To analyze the imaging features of respiratory epithelial adenomatoid hamartoma (REAH) in the nasal olfactory clefts. Method: Forty-two patients with REAH in the nasal olfactory clefts confirmed by pathology were enrolled in this study and their imaging features were analyzed. Result: All lesions of the patients were located in bilateral olfactory clefts, accompanied by varying degrees of sinusitis and nasal polyps. CT and MRI of sinuses showed that expanded soft tissue in bilateral olfactory region. The bilateral middle turbinate was extruded laterally. Sagittal images showed "discoid-shaped mass" changes. Conclusion: The imaging manifestations of REAH have certain characteristics, which can provide a basis for clinical diagnosis. Clinical analysis combined with imaging examination can improve the diagnosis of REAH and guide the treatment.
- olfactory clefts /
- hamartoma /
- imaging

HTML全文

参考文献(28)

[1]	OWENS D, ALDERSON D, GAMDO C.Nasopharyngeal hamartoma:importance of routine complete nasal examination[J].J Laryngol Otol, 2004, 118:558-560.
[2]	WENIG B M, HEFFNER D K.Respiratory epithelial adenomatoid hamartomas of the sinonasal tract and nasoplmrynx:a clinicopathologic study of 31 cases[J].Ann Otol Rhinol Laryngol, 1995, 104:639-645.
[3]	PARK S K, JUNG H, YANG Y I.Mesenchymal hamartoma in nasopharynx:a case report[J].Auris Nasus larynx, 2008, 35:437-439.
[4]	METSELAAR R M, STEL H V, VAN DER BAAN S.Respiratory epithelial adenomatoid hamartoma in the nasopharynx[J].J Laryngol Otol, 2005, 119:476-478.
[5]	RODRIGUES J, CASELHOS S, ESTÊVÃO R, et al.Respiratory epithelial adenomatoid hamartoma-case report and literature review[J].Acta Otorrinolaringol Gallega, 2016, 9:6-12.
[6]	曹志伟, 顾兆伟, 边志刚, 等.双侧嗅裂区REAH临床病理特点[J].临床耳鼻咽喉头颈外科杂志, 2010, 24 (11):507-510.
[7]	邰旭辉, 罗秀波, 訾龙, 等.鼻腔呼吸道上皮腺瘤样错构瘤14例报告[J].临床耳鼻咽喉头颈外科杂志, 2014, 28 (23):852-854.
[8]	付琳, 刘鹏涛, 杨本涛, 等.鼻腔嗅裂区呼吸上皮腺瘤样错构瘤的CT和MRI表现[J].中华放射学杂志, 2016, 50 (4):256-259.
[9]	于倩倩, 关鸽, 张念凯, 等.鼻腔嗅裂区呼吸道上皮腺瘤样错构瘤的CT影像表现[J].山东大学耳鼻喉眼学报, 2018, 32 (3):76-81.
[10]	FALCO J J, PEINE B S, CLARK D W.Bilateral respiratory epithelial adenomatoid hamartomas originating from the anterior olfactory clefts[J].Proc (Bayl Univ Med Cent), 2017, 30:221-223.
[11]	NGUYEN D T, GAUCHOTTE G, AROUS F, et al.Respiratory epithelial adenomatoid hamartoma of the nose:an updated review[J].Am J Rhinol Allergy, 2014, 28:187-192.
[12]	NGUYEN D T, NGUYEN-THI P L, GAUCHOTTE G, et al.Predictors of respiratory epithelial adenomatoid hamartomas of the olfactory clefts in patients with nasal polyposis[J].Laryngoscope, 2014, 124:2461-2465.
[13]	GRAEME-COOK F, PILCH B Z.Hamartomas of the nose and nasopharynx[J].Head Neck, 1992, 14:321-327.
[14]	臧艳姿, 马崧, 刘军, 等.新生儿鼻咽部错构瘤脱落至食管上段1例[J].临床耳鼻咽喉头颈外科杂志, 2014, 28 (12):919-920.
[15]	王智楠, 夏菲, 张亚敏, 等.婴幼儿鼻咽部新生物的临床分析及诊治探讨[J].临床耳鼻咽喉头颈外科杂志, 2016, 30 (21):1698-1700.
[16]	陈晓彩, 汪照炎, 曹荣萍, 等.婴幼儿鼻腔错构瘤的诊断及鼻内镜手术治疗[J].中国耳鼻咽喉颅底外科杂志, 2017, 23 (1):33-38.
[17]	HULSMANN A R, DE BONT N, DEN HOLLANDER J C, et al.Hamartomas of the oro- and nasopharyngeal cavity in infancy:two cases and a short review[J].Eur J Pediatr, 2009, 168:999-1001.
[18]	INGRAM W F, NOONE M C, GILLESPIE M B.Respiratory epithelial adenomatoid hamartoma:a case report[J].Ear Nose Throat J, 2006, 85:190-192.
[19]	DELBROUCK C, FERNANDEZ AGUILAR S, CHOUFANI G, et al.Respiratory epithelial adenomatoid hamartoma associated with nasal polyposis[J].Am J Otolaryngol, 2004, 25:282-284.
[20]	LIANG J, O'MALLEY B W, FELDMAN M, et al.A case of respiratory epithelial adenomatoid hamartoma[J].Am J Otolaryngol, 2007, 28:277-279.
[21]	PICCIOTTI P M, CALÒ L, MULÈ A, et al.Rhinosinusal bilateral hamartoma:a case report[J].Auris Nasus Larynx, 2008, 35:569-571.
[22]	HAWLEY K A, AHMED M, SINDWANI R.CT findings of sinonasal respiratory epithelial adenomatoid hamartoma:a closer look at the olfactory clefts[J].AJNR Am J Neuroradiol, 2013, 34:1086-1090.
[23]	LEE J T, GARG R, BRUNWORTH J, et al.Sinonasal respiratory epithelial adenomatoid hamartomas:series of 51 cases and literature review[J].Am J Rhinol Allergy, 2013, 27:322-328.
[24]	DAVISON W L, PEARLMAN A N, DONATELLI L A, et al.Respiratory epithelial adenomatoid hamartomas:An increasingly common diagnosis in the setting of nasal polyps[J].Am J Rhinol Allergy, 2016, 30:139-146.
[25]	DE SAINT HILAIRE T, RUMEAU C, GALLET P, et al.Difference between respiratory epithelial adenomatoid hamartomas and small malignant tumours of the olfactory cleft on CT scans in forty-six patients[J].Clin Otolaryngol, 2017, 42:1421-1425.
[26]	于晓峰, 赵鹤, 曹志伟.嗅裂区呼吸道上皮腺瘤样错构瘤的影像分析[J].临床耳鼻咽喉头颈外科杂志, 2018, 32 (12):924-926.
[27]	BIGNAMI M, VOLPI L, KARLIGKIOTIS A, et al.Endoscopic endonasal resection of respiratory epithelial adenomatoid hamartomas of the sinonasal tract[J].Int Forum Allergy Rhinol, 2014, 4:961-511.
[28]	MALINVAUD D, HALIMI P, CÔTÉ J F, et al.Adenomatoid hamartoma of the ethmoid sinus:one case report[J].Rev Laryngol Otol Rhinol (Bord), 2004, 125:45-48.