鼻窦肿块的临床病理与术前ct表现比较

Namrata Sasidharan, Abdunnasar Moodem Pilakkal, Santhi Thankappan Pillai
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摘要

背景与目的:计算机断层扫描(CT)与造影剂可以描绘软组织病理,目前是诊断鼻窦恶性肿瘤和炎症性病变的首选。本研究比较了诊断性鼻内镜(DNE)和CT扫描对鼻窦肿块的诊断价值。材料和方法:本研究是对2014年1月1日至2015年6月30日在喀拉拉邦Alappuzha政府TD医学院就诊的鼻腔肿块患者进行描述性研究。每例患者均行鼻内镜诊断检查,术前行CT扫描。对标本进行组织病理学检查,并与DNE和CT扫描结果进行比较。结果:共72例纳入研究。年龄13 ~ 85岁,男女比例为1.3:1。鼻塞是最常见的症状。72例中,非肿瘤组59例,肿瘤组13例。非肿瘤性病变以鼻息肉为主(65.3%)。血管病变是最常见的良性肿瘤肿块(6.9%),恶性肿瘤占6.9%。除3例外,DNE与CT诊断一致。除3例外,病理组织学检查结果与影像学检查结果吻合良好。结论:组织病理学仍是诊断鼻窦肿块的金标准。临床、CT及组织病理学诊断相辅相成。然而,CT扫描是必不可少的研究解剖变异和提供路线图在内镜鼻窦手术之前和期间。中华医学会医学杂志2022;16(1): 008*通讯:Santhi Thankappan Pillai,印度喀拉拉邦Alappuzha Vandanam政府TD医学院耳鼻咽喉科,印度喀拉拉邦688005。电子邮件:sttpillai@gmail.com
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Comparison of clinicopathological and preoperative computed tomography findings of sinonasal masses
Background and objectives: Computerized tomography (CT) scan with contrast can delineate soft tissue pathologies and is now the first choice in diagnosing sinonasal malignancy and inflammatory lesions. The present study compared the diagnostic nasal endoscopy (DNE) and CT scan to diagnose cases presented with sinonasal mass. Materials and methods: This was a descriptive study conducted on patients with sinonasal masses attending at Government TD Medical College, Alappuzha, Kerala from 1/1/2014 to 30/6/2015. Each patient was examined by diagnostic nasal endoscopy and had undergone preoperative CT scan. Histopathological examination of the specimens was carried out and compared with the findings of DNE and CT scan. Results: A total of 72 cases were enrolled in the study. Age group was from 13-85 years with a male to female ratio of 1.3:1. Nasal obstruction was the commonest symptom. Among the 72 cases, 59 belonged to the non-neoplastic group and 13 to the neoplastic group. Sinonasal polyps (65.3%) formed the majority of the non-neoplastic lesions. Vascular lesions (6.9%) were the commonest benign neoplastic mass and malignancy was seen in 6.9% of cases. Diagnosis by DNE and CT scan was same except in 3 cases. Histopathology and radiological scan result correlated well except in 3 cases. Conclusion: Histopathology still remains the gold standard in the diagnosis of sinonasal masses. Clinical, CT scan and histopathology diagnoses were complementary with each other. However, CT scan is indispensible in studying the anatomical variants and providing the route map prior to and during endoscopic sinus surgeries. IMC J Med Sci 2022; 16(1): 008 *Correspondence: Santhi Thankappan Pillai, Department of Otorhinolaryngology, Government TD Medical College, Vandanam, Alappuzha, Kerala 688005, India. Email: sttpillai@gmail.com
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