[在儿童中出现鼻癌的长期表症症状]
Christian Corfitz Andersen1, Thomas Hjuler1, Kasper Daugaard Larsen1
1Afdeling for Øre-Næse-Halskirurgi og Audiologi, Københavns Universitetshospital - Rigshospitalet.
Ugeskrift for laeger
|December 9, 2024
概括
一个孩子经常流鼻血,伴随着睡眠问题和体重增加不足,可能是鼻癌的信号. 在这个儿科病例中,早期检测和综合治疗导致了完全康复.
科学领域:
- 儿科瘤学 儿科瘤学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病毒学 病毒学
背景情况:
- 儿童经常出现的鼻血可能有多种原因,需要进行彻底的调查.
- 鼻质量在儿科患者中很少见,但可以呈现出微妙的,非特异性的症状.
- 爱斯坦-巴尔病毒 (EBV) 与某些恶性瘤的风险增加有关,包括鼻癌 (NPC).
研究的目的:
- 报告一个罕见的儿科鼻癌病例.
- 强调诊断挑战和儿童NPC的临床表现.
- 突出儿童NPC多式疗法的成功管理和结果.
主要方法:
- 一个10岁男孩的临床病例呈现,长期表和其他症状.
- 诊断工作包括鼻镜检查和活检,以确认他的病理学.
- 治疗方案包括化疗,质子疗法和免疫调节剂.
主要成果:
- 在鼻中发现的一块质体被诊断为爱斯坦-巴尔病毒阳性鼻癌.
- 患者接受了成功的多模式治疗.
- 孩子已经得到缓解,目前健康状况良好.
结论:
- 儿科表,特别是当与系统性症状相关,如体重增加不足和睡眠障碍时,需要进行全面的诊断评估.
- 爱斯坦-巴尔病毒阳性鼻癌,虽然在儿童中很少见,但应在差异诊断中考虑.
- 多式疗法可以有效地实现儿童鼻癌的良好结果.
相关概念视频
Epistaxis
129
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
129
Suctioning the Nasopharyngeal Airway
281
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
281
Chronic Pharyngitis
1.1K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.1K
Tracheostomy Decannulation
112
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
112
Esophageal Perforation-II: Clinical Manifestations and Management
44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
44
Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103


