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摘要: 报告1例巨大鼻中隔鼻息肉伴中央钙化,鼻内镜下可见一不规则的小叶状肿块,黄色,表面光滑,从患者鼻后中隔开始,一直延伸到鼻咽。CT断层扫描显示一巨大的鼻腔、鼻咽肿块,与鼻中隔关系密切,中央有骨化结构。经内镜手术切除,病理证实为典型的鼻息肉骨化生。Abstract: This paper reported a case of a large septal polyp with central calcification. Nasal endoscopy revealed an irregular lobular mass, yellow and smooth, extending from posterior septum to nasopharynx. CT scan revealed a large nasal and nasopharyngeal mass, closely related to the septum, with ossification in the center. This mass was excised by endoscopic surgery and proved to be typical ossification of nasal polyps.
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Key words:
- nasal polys /
- nasal septum /
- heterotopic ossification
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[1] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 中国慢性鼻窦炎诊断和治疗指南(2018)[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(2): 81-100. doi: 10.3760/cma.j.issn.1673-0860.2019.02.001
[2] Yanagisawa E, Christmas DA, Yanagisawa R. Endoscopic view of the sites of origin of nasal polyps[J]. Ear Nose Throat J, 2000, 79(7): 490-492. doi: 10.1177/014556130007900704
[3] 陈卓, 刘江怡, 陈杰, 等. 上皮细胞在鼻息肉形成和发展中的作用[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(11): 1053-1056.
[4] Lou H, Meng Y, Piao Y, et al. Predictive significance of tissue eosinophilia for nasal polyp recurrence in the Chinese population[J]. Am J Rhinol Allergy, 2015, 29(5): 350-356. doi: 10.2500/ajra.2015.29.4231
[5] Joss TV, Burke CM, Hudson BJ, et al. Bacterial Communities Vary between Sinuses in Chronic Rhinosinusitis Patients[J]. Front Microbiol, 2015, 6: 1532.
[6] Wynn R, Har-El G. Recurrence rates after endoscopic sinus surgery for massive sinus polyposis[J]. Laryngoscope, 2004, 114(5): 811-813. doi: 10.1097/00005537-200405000-00004
[7] Yilmaz M, Ibrahimov M, Kilic E, et al. Heterotopic bone formation(osseous metaplasia)in nasal polyps[J]. J Craniofac Surg, 2012, 23(2): 620. doi: 10.1097/SCS.0b013e3182420592
[8] Mercan H, Edizer DT, Kilic E, et al. Osseous metaplasia in a nasal polyp: report of a rare case and review of the literature[J]. Ear Nose Throat J, 2012, 91(9): E4-6.
[9] Jacono AA, Sclafani AP, Van De Water T, et al. Metaplastic bone formation in nasal polyps with histologic presence of transforming growth factor beta-1(TGFbeta-1) and bone morphogenetic proteins(BMPs)[J]. Otolaryngol Head Neck Surg, 2001, 125(1): 96-97. doi: 10.1067/mhn.2001.115857
[10] Okamoto T, Kodama S, Nomi N, et al. Expression of bone morphogenic protein in sinonasal inverted papilloma with new bone formation[J]. Allergy Rhinol(Providence), 2011, 2(1): 16-20.
[11] Yilmaz M, Ibrahimov M, Kilic E, et al. Heterotopic bone formation(osseous metaplasia)in nasal polyps[J]. J Craniofac Surg, 2012, 23(2): 620. doi: 10.1097/SCS.0b013e3182420592
[12] Ninomiya J, Oyama T, Horiguchi J, et al. Two cases of breast cancer with cartilaginous and osseous metaplasia[J]. Breast Cancer, 2005, 12(1): 52-56. doi: 10.2325/jbcs.12.52
[13] 毛文萍, 沈比先, 高德宏, 等. 慢性鼻窦炎鼻息肉CT分析[J]. 实用放射学杂志, 2003, 19(11): 987-989. doi: 10.3969/j.issn.1002-1671.2003.11.008
[14] 张丽川, 胡春华, 韩星雨, 等. 鼻息肉患者组织嗜酸粒细胞计数与改良鼻窦CT嗅区评分及嗅觉功能的关系[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(12): 1142-1147.
[15] Cho HS, Kim KS. Nasal obstruction due to septochoanal polyp[J]. Braz J Otorhinolaryngol, 2014, 80(4): 362-363. doi: 10.1016/j.bjorl.2014.05.024