篩竇牙骨質骨化纖維瘤

Cemento-ossifying Fibroma of the Ethmoid Sinus

郭浚熒(Chun-Ying Kuo) ； 許惠婷(Hui-Ting Hsu) ； 陳穆寬(Mu-Kuan Chen) ； 黃瑞彰(Jui-Chang Huang)

《台灣耳鼻喉頭頸外科雜誌》 45卷5期 (2010/10) Pp. 158-161

https://doi.org/10.6286/2010.45.5.158

摘要

牙骨質骨化纖維瘤(cemento-ossifying fibroma)爲腫瘤性的良性纖維骨性病變，影像學上可給由週圍界限是否清楚與非腫瘤性的纖維骨性病變做爲鑑別診斷。好發於下頜骨，少部份發生在鼻竇者因侵犯性較大，即使進程緩慢，仍需要積極手術治療。本病例爲16歲男性，主訴有右側鼻塞、流鼻血及頭痛等症狀，經理學檢查及影像學檢查初步診斷爲鼻竇骨化纖維瘤，安排內視鏡手術進行近全切除(near-total resection)。術後病理檢查結果爲牙骨質骨化纖維瘤。目前此病例追踪2年半，無明顯併發症，殘存腫瘤也維持穩定。

關鍵字

牙骨質骨化纖維瘤 ； 骨化纖維瘤 ； 內視鏡手術

並列摘要

Cemento-ossifying fibromas are one of the neoplastic benign fibro-osseous lesions. Radiographically, cemento-ossifying fibromas can be differentiated with non-neoplastic benign fibro-osseous lesions by their well-circumscribed margin. Mostly, they occur in mandibular bone. Some of them are in paranasal sinus, which are more invasive, even in slow progression, and an agressive surgical intervention is necessary. This case is a 16-year-old boy complaining nasal obstruction, nasal bleeding and headache. Physical examination and image study revealed ossifying fibroma. Endoscopic near-total resection was performed, and pathologic exam showed cemento-ossifying fibroma. We have followed this case for two and a half year, and no significant complications or recurrence are presented.

並列關鍵字

cemento-ossifying fibroma ； ossifying fibroma ； endoscopic surgery