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巨大鼻咽纖維瘤—病例報告

Huge Nasopharyngeal Fibroma-Case Report

摘要


鼻咽纖維瘤是非常罕見的良性結締組織腫瘤,最常發生在年青的男性,也稱為息肉樣纖維瘤或纖維瘤樣息肉。一般而言,經由手術治療預後良好。本院於2001年7月經歷一名39歲男性病患因為打鼾、鼻塞、呼吸困難來就診,鼻腔內視鏡檢查發現鼻咽部有一巨大腫瘤向前延伸到左右後鼻腔。磁振造影顯示高度顯影的腫瘤,沒有頸部淋巴腺病變,於是住院在內視鏡監視下,經鼻腔及口腔將鼻咽腫瘤切除。病理切片結果為低細胞性纖維瘤,病患追蹤至今一年無復發跡象。

關鍵字

鼻咽 纖維瘤

並列摘要


Nasopharyngeal fibroma is a very rare, benign, soft tissue tumor. This disease almost always occurs in young men. It is also called polypoid fibroma or fibromatous polyp. If the tumor is removed completely, the prognosis is good. We report a 39-year-old man who suffered from nasal obstruction, snoring, and shortness of breath for 3 years. Flexible nasopharyngoscopy and MRI of nasopharynx with contrast enhancement showed a huge mass extending from nasopharynx to the bilateral posterior nasal cavity and oropharynx. There was no lymphadenopathy. The nasopharyngeal tumor was removed endoscopically via the transoral route. The histopathology report confirmed that the tumor was a nasopharyngeal fibroma. Since the operation, there has been no recurrence during 1 year follow-up.

並列關鍵字

nasopharynx fibroma

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