孟加拉国40例鼻窦癌患者的组织病理类型及分期分析

M. Haque, A. Biswas, A. Ahsan, Idrish Ali, Harun Ar Rashid Talukdar, M. A. Chowdhury
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摘要

背景:鼻甲癌具有不同的组织学类型和不同的分期。目的:了解三级医院鼻窦癌患者的组织病理分型及分期。方法:本横断面研究于2008年1月至2009年12月在孟加拉国达卡的Bangabandhu Sheikh Mujib医科大学耳鼻喉科-头颈外科和达卡医学院医院进行,为期2年。所有在研究期间住院和门诊的连续鼻窦癌病例。根据病史及临床检查,经ct、MRI及病理组织学检查证实,诊断为鼻窦癌。结果:本研究共招募了40例鼻癌患者。其中单部位受累11例,多部位受累29例。上颌窦多部位受累,伴鼻腔受累15例(51.72%)。上颌窦、鼻腔累及筛窦10例(34.48%)。鼻窦癌在T4期出现16例(40.05),其次是T3期13例(32.5%),T2期7例(17.5%),T1期4例(10.0%)。鳞状细胞癌25例(63%),其次为腺癌7例,腺样囊肿癌5例。结论:结论甲鼻癌多为鳞状细胞癌,多发于T4期。孟加拉国国家神经科学研究所学报,2020;6(2):110-113
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Histopathological Pattern and Different Stages of Sinonasal Carcinoma Patients: A Study on 40 Cases in Bangladesh
Background: Sino-nasal carcinoma has various histological types presented with different stages. Objectives: The purpose of this present study was to see the histopathological types and stages of sinonasal carcinoma patients in tertiary level hospital. Methodology: This cross-sectional study was conducted in the Department of Otolaryngology- Head & Neck Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh and Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2008 to December 2009 for a period of two (02) years.All consecutive cases of sinonasal carcinoma admitted in hospital and outpatient department during the study period. Suspected cases of sinonasal carcinoma was diagnosed from history and clinical examination proved by CT-scan, MRI and histopathological examination. Result: A total number of 40 cases of sino-nasal carcinoma were recruited for this study. Among these single site involvement was reported in 11 cases and the rest 29 cases were involved in multiple sites. Regarding multiple sites involvement maxillary sinus with nasal cavity involvement was reported in 15(51.72%) cases. Maxillary sinus, nasal cavity with ethmoid sinus involvement was found in 10(34.48%) cases. The presentation of the sinonasal carcinoma at stage T4 was 16(40.05) cases followed by T3, T2, and T1 which were 13(32.5%) cases, 7(17.5%) cases and 4(10.0%) cases respectively. Squamous cell carcinoma was found in 25(63%) cases followed by adenocarcinoma andadenoid cyst carcinoma which were 7 cases, 5 cases respectively. Conclusion: In conclusion majority of the sino-nasal carcinoma are squamous cell carcinoma involving the multiple sites in the T4 stage. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 110-113
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