鼻腔中发现的软骨样纤维瘤病例

M. Oh, Ji Yun Jeong, Jae-Hui Kim, S. Heo
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摘要

软骨样纤维瘤(CMF)是一种极为罕见的良性软骨肿瘤,多发于颅面部位。由于很少发生在鼻腔和副鼻窦,它经常被误诊;此外,它与其他软骨肿瘤有相似之处,表现出相同的放射学和组织病理学特征。一名 62 岁的女性到我院就诊,主诉是左侧鼻唇肿块,病史一个月。肿块位于鼻腔内:从鼻腔内向前方延伸至鼻前脊柱,向后延伸至硬腭末端,向外侧延伸至上颌窦。由于肿块的影响,鼻中隔向右侧偏移。通过改良的内窥镜登克氏方法完全切除了肿块,并确诊为 CMF。随访 36 个月,未发现复发。
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A Case of Chondromyxoid Fibroma Observed in the Nasal Cavity
Chondromyxoid fibroma (CMF) is an extremely rare, benign cartilaginous tumor found in the craniofacial region. It is often misdiagnosed due to its rare occurrence in the nasal and paranasal sinus; moreover, it has similarities with other cartilaginous tumors, showing the same radiologic and histopathologic features. A 62-year-old female consulted our clinic with the chief complaint of a left nasolabial mass of one-month history. The mass was located in the nasal cavity: from there it extended anteriorly to the anterior nasal spine, posteriorly to the end of the hard palate, and laterally to the maxillary sinus. The nasal septum was deviated to the right side due to the mass effect. Complete removal of the mass was conducted via the modified endoscopic Denker’s approach, and the diagnosis of CMF was established. During the 36-month follow-up, no recurrence was observed.
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