鼻及鼻竇倒生性乳頭狀瘤之治療

Management of Inverted Papilloma of the Nose and Paranasal Sinuses

張克昌(Ko-Chang Chang) ； 李振川(Jehn-Chuan Lee) ； 陳一豪(I-How Chen) ； 李國森(Kuo-Sheng Lee) ； 楊政謙(Cheng-Chien Yang) ； 徐銘燦(Min-Tsan Shu)

《中華民國耳鼻喉科醫學會雜誌》 32卷1期 (1997/02) Pp. 32-37

https://doi.org/10.6286/1997.32.1.32

摘要

馬偕紀念醫院耳鼻喉科，自1987年7月至1995年6月止，6年間共收集24例鼻腔及鼻竇的倒生性乳頭狀瘤。年齡分布，從11歲至72歲，平均年齡為47.0歲，以男性居多，佔70.8%；症狀以單側鼻塞為主，佔70.8%，其次為流鼻血，佔41.7%；腫瘤好發於鼻腔外側壁且多合併侵犯鄰近鼻竇，佔95.8%。施行鼻外根治性手術，計5例，皆無復發；施行鼻內局限性手術計19例，含9例施行鼻竇內視鏡手術，有2例復發，復發率為10.5%(2/19)，佔所有病例之8.3%(2/24)。24例共26次手術，術後病理組織檢查皆無並生性之惡性腫瘤，術後鼻部內視鏡複診中，迄今至少一年以上亦無化生性之惡性腫瘤發生。

關鍵字

倒生性乳頭狀瘤

並列摘要

Since July 1989, twenty-four patients with inverted papilloma of the nose and paranasal sinuses have been treated at memorial Hospial. Patients were aged form 11 to 72 years, and 70.8% were male. Unilaternal nasal obstruction (70.8%) and epistaxis (41.7%) were the most common symptoms. Most tumors originated on the lateral nasal wall, with 95.8% involving the adjacent sinuses. Five cases were treated by extranasal approach and nineteen were treated by other intranasal procedures, including nine cases of endo-scopic sinus surgery. There were two recur-rences (10.5%) in intrnasal group and no recurrence in extranasal group. Total recur-rence rate on patients was 8.3%. There were no cases associated with squamous cell carcinoma in this study.

並列關鍵字

inverted papoilloma