嗅觉神经母细胞瘤:一种罕见的鼻腔恶性瘤
Athar Adnan Uppal1, Saira Zaman1, Ayesha Shahbaz1
1Department of ENT, Ghurki Trust and Teaching Hospital, Lahore, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|July 19, 2024
概括
这份病例报告详细介绍了一名42岁的男性,患有嗅觉神经母细胞瘤 (ONB),这是一个罕见的鼻腔瘤. 成功的多模式治疗包括手术和放射治疗导致10个月没有复发.
科学领域:
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病理学 病理学 病理学
背景情况:
- 嗅觉神经母细胞瘤 (ONB) 是一种罕见的恶性瘤,起源于嗅觉神经.
- ONB表现为鼻腔堵塞和表,但阿诺斯米亚和面部疼痛并不总是存在的症状.
研究的目的:
- 报告一名42岁男性嗅觉神经母细胞瘤的病例.
- 突出ONB的诊断和治疗考虑因素.
主要方法:
- 诊断成像 (CT,MRI) 以确定鼻腔质量.
- 组织病理学检查和免疫组织化学检查以确定确诊.
- 手术切除 (侧面鼻切除术) 和放射治疗治疗.
主要成果:
- 在右大鼻腔中确定了一个多质体,侵蚀到骨肉复合体中.
- 免疫组织化学证实了ONB (对合成素,染色素,胺酶,神经纤维呈阳性).
- 瘤的阶段是卡迪什B;患者在治疗后10个月保持无复发.
结论:
- 带有周围瘤囊的形鼻腔质量的放射性发现应该引起对ONB的怀疑.
- 对于嗅觉神经母细胞瘤,建议采用结合手术和放射治疗的多式治疗方法.
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