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最初的额头鼻和轨道瘤在癌中信号晚期远程转移
Bojan Pavlovic1,2, Sasa Jakovljevic2, Katarina Jovanovic2
1Faculty of Medicine, University of Belgrade.
The Journal of craniofacial surgery
|September 10, 2024
概括
转移性清细胞癌很少影响鼻道. 这一病例突出显示了前额腔和轨道转移7年后的诊断,强调了快速生长的鼻瘤需要考虑的必要性.
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:
- 对鼻腔鼻腔的转移很少见,清细胞癌是最常见的原始来源.
- 清细胞细胞癌 (ccRCC) 是一种具有远程传播倾向的侵袭性恶性瘤.
研究的目的:
- 报告一种罕见的转移性ccRCC病例,涉及额头鼻和轨道.
- 讨论临床表现,诊断挑战和鼻腔ccRCC转移的管理.
主要方法:
- 一个有ccRCC病史的患者的病例介绍.
- 诊断成像 (计算机断层扫描) 和组织病理学/免疫组织化学分析.
- 用于瘤解的手术干预.
主要成果:
- 在初始治疗7年后,在左额头鼻和轨道中发现了ccRCC的单一转移性病变.
- 这种病变导致了显著的骨损伤,并呈现出proptosis和ptosis.
- 由于大量出血,完全切除瘤是不可能的;进行了脱皮.
结论:
- 从ccRCC引起的鼻腔转移,虽然很少见,但应考虑在有快速增长的鼻腔质量出现的癌病史的患者.
- 早期识别和适当的治疗,可能包括单一病变的手术,至关重要.
- 尽管接受了治疗,但对于广泛的鼻腔ccRCC转移的预后可能很差,正如患者的结果所示.
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