- 期刊
鼻腔及鼻竇之倒生性乳頭狀瘤－兩例報告
Inverted Papillomas of the Nasal Cavity and Paranasal Sinuses － Report of Two Cases
摘要
倒生性乳頭狀瘤（inverted papilloma）是一種較罕見的腫瘤，它的特點在於1.復發率高，2.局部侵犯性，3.伴隨惡性腫瘤，4.多發的傾向。 臺北醫學院附設醫院耳鼻喉科自12年來經歷的14個鼻腔或鼻竇內倒生性乳頭狀瘤的病中選取兩例提出報告。其中1例伴隨類上皮癌（epidermoid carcinoma），於術後接受放射線治療。另1例鼻腔及鼻竇內倒生性乳頭狀瘤侵犯硬腦膜及右側眼眶內上壁，並發現1顱內囊腫，內含氣體液體界面（air-fluid level）。經會診神經外科醫師後，聯手施行右側額部顱骨切開術（frontal craniotomy），清除腫瘤後情況穩定，至今無復發現象，特提出報告。
並列摘要
Inverted papilloma is a relatively uncommon lesion of the nasal cavity and paranasal sinuses. It is characterized by a high recurrence rate, local invasiveness, association with malignancy, and tendency to be multicentricity. We hereby reported two cases from 14 cases of inverted papilloma of the nasal cavity and paranasal sinuses encountered in TMCH during 1980-1992 perid. One was associated with epidermoid carcinoma and received radiotherapy after surgery. The other was diagnosed as inverted papilloma of the right nasal cavity and paranasal sinuses with invasion of the dura and medio-superior wall of the right orbit. Moreover, a well-defined space-occupying lesion with air-fluid level was noted in the right frontal lobe. The tumor was removed via right frontal craniotomy by the cooperation of ENT doctor and neurosurgeon. The post-operative course was uneventful. There has been no evidence of recurrence until now.
延伸閱讀
- 張克昌、李振川、陳一豪、李國森、楊政謙、徐銘燦（1997）。鼻及鼻竇倒生性乳頭狀瘤之治療。中華民國耳鼻喉科醫學會雜誌，32(1)，32-37。https://doi.org/10.6286/1997.32.1.32
- Jiang, R. S., Jan, Y. J., & Hsu), C. Y. (1998). 鼻腔血管內皮瘤－二例報告. 中華民國耳鼻喉科醫學會雜誌, 33(4), 380-383. https://doi.org/10.6286/1998.33.4.380
- Su, W. H., Wu, M. H., & Chang, K. H. (1998). 鼻腔內倒生性乳頭狀瘤與肉癌類癌：病例報告. 放射治療與腫瘤學, 5(1), 51-55. https://doi.org/10.6316/TRO/199805(1)51
- 李達人、蘇仁亮、黃俊生（1995）。鼻竇內視鏡手術治療鼻部倒生性乳頭狀瘤－初步報告。中華民國耳鼻喉科醫學會雜誌，30(3)，230-235。https://doi.org/10.6286/1995.30.3.230
- 練淑娟、許志宏、吳政德、林清榮（1998）。Malignant Melanoma of Nasal Cavity and Paranasal Sinuses。中華民國耳鼻喉科醫學會雜誌，33(2)，120-125。https://doi.org/10.6286/1998.33.2.120