CAJ | 학술논문

目的探讨鼻腔鼻窦血管外皮细胞瘤患者的临床特点、治疗方法及预后.方法回顾性分析四川省人民医院1990年1月至2012年12月经病理确诊的6例鼻腔鼻窦血管外皮细胞瘤患者的临床资料,其中男4例,女2例,年龄35～ 65岁,中位数年龄58岁.临床表现为鼻塞和鼻出血.全部患者均行鼻内镜下或鼻内镜辅助下肿瘤切除术,其中2例肿瘤位于鼻腔的患者,行鼻内镜下鼻腔肿瘤切除术.4例肿瘤位于鼻腔及鼻窦的患者,在全麻下行鼻内镜辅助下鼻腔鼻窦肿瘤切除术.结果全部患者随访6个月至7年,4例未见复发;1例术后6个月复发,行二次手术,二次手术后随访1年未见复发;1例术后17个月复发,行二次手术,二次手术后9个月再次复发,现带瘤生存至今超过2年.结论鼻腔鼻窦血管外皮细胞瘤少见,鼻内镜下或鼻内镜辅助下手术切除鼻腔鼻窦血管外皮细胞瘤可取得满意的疗效.
목적 탐토비강비두혈관외피세포류환자적림상특점、치료방법급예후.방법 회고성분석사천성인민의원1990년1월지2012년12월경병리학진적6례비강비두혈관외피세포류환자적림상자료,기중남4례,녀2례,년령35～ 65세,중위수년령58세.림상표현위비새화비출혈.전부환자균행비내경하혹비내경보조하종류절제술,기중2례종류위우비강적환자,행비내경하비강종류절제술.4례종류위우비강급비두적환자,재전마하행비내경보조하비강비두종류절제술.결과 전부환자수방6개월지7년,4례미견복발;1례술후6개월복발,행이차수술,이차수술후수방1년미견복발;1례술후17개월복발,행이차수술,이차수술후9개월재차복발,현대류생존지금초과2년.결론 비강비두혈관외피세포류소견,비내경하혹비내경보조하수술절제비강비두혈관외피세포류가취득만의적료효.
Objective To investigate the clinical features,therapeutic methods and therapeutic effects of sinonasal hemangiopericytoma.Methods Clinical data of 6 patients with sinonasal hemangiopericytoma,diagnosed by pathology and immmunohistochemistry between January 1990 and December 2012 were analyzed retrospectively.There were 4 males and 2 females,with a median age of 58 years.Clinical manifestation included epistaxis and nasal obstruction.These patients were operated on by nasal endoscopic surgery or endoscope-assisted surgery,of which 2 cases of tumor located in the nasal cavity underwent nasal endoscopic surgery and 4 cases of tumor located in the nasal cavity and sinuses underwent endoscope-assisted surgery.Results All the patients were followed up for a period of 6 months to 7 years after operation.Two cases recurred and 4 cases didn't recurre.One case recurred 6 months after operation and underwent second operation,with no recurrence by further one year follow-up.Another case recurred 17 months after operation and underwent second operation,with recurrence by further 9 months follow-up.This patient lived with tumor over two years.Conclusions Hemangiopericytomas are rarely found in the sinonasal cavity.Nasal endoscopic or endoscope-assisted surgery provides satisfactory effect.