蝶竇軟骨肉瘤－病例報告

Chondrosarcoma of the Sphenoid Sinus - Case Report

陳俊伯(Chun-Po Chen) ； 蘇志英(Chih-Ying Su) ； 黃昭誠(Chao-Cheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 31卷3期 (1996/06) Pp. 262-266

https://doi.org/10.6286/1996.31.3.262

摘要

生長於頭頸部的軟骨肉瘤並不常見，發生於副鼻竇的則更為罕見。本院經歷1名44歲男性患者主訴左鼻腔腫塊約兩週，經過檢查和手術切除發現這是一個源自竇的軟骨肉瘤，已有顱內侵犯。開刀後病人接受不完全的放射線治療，7個月後X光片及電腦斷層顯示並無顱肺轉移現象，但因嚴重慢性阻塞性肺病、肺部感染及併發吸入性肺炎導致敗血性休克死亡。

關鍵字

軟骨肉瘤 ； 副鼻竇

並列摘要

Chondrosarcoma originating in the cose and paranasal sinuses is very rare. It is often found to be greatly advanced by the time a clinical or radiologic diagnosis is established. Therefore, the overall cure rated is low, even when surgery and readiation therapy are combined. A case of chondrosarcoma fo left sphenoid sinus with parasellar invasion which presented with a progressive cranial neuropathies and nasal mass is reported. In this patient, the major symptoms and signs were nasal obstruction, bloody nasal discharge, nasal mass, and multiple cranial nerve palsies. Usully, the chondrosarcoma presents as a large, whitish to blueish-gray mass, low in grade, whitish to blueish-gray mass, low in grade, insidious but locally invasive to adjacent tissue. Computed tomography may reveal a soft tissue mass expanding and destroying bone and typically showing areas of nodular or plaque-like calcification. The treatment of choice for chondrosarcomas of paranasal sinus is by en block excision. Adjuvant radiotherapy may be considered, particularly in non-resectable or recurrent tumors. The prognosis is usually poor eventually.

並列關鍵字

chondrosarcoma ； paranasal sinus