鼻腔浆液黏液腺错构瘤4例报道
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聊城市第二人民医院

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Report of 4 cases of nasal cavity seromucinous hamartoma
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    目的 对4例鼻腔浆液黏液腺错构瘤(seromucinous hamartoma,SMH)的临床和病理特点进行分析总结。方法 回顾性分析2019-2023年于聊城市第二人民医院确诊的4例鼻腔SMH患者的临床、影像学、病理学及预后资料。结果 4例患者,男3例女1例;年龄23-66岁,平均年龄39.75岁。4例患者的主要症状是单侧鼻塞及脓涕。3例病变位于钩突,1例病变位于中鼻甲。病理改变表现为黏膜下呈簇状或小叶状增生的浆液粘液腺、导管。所有患者均行鼻内镜下病变切除术,随访至今,均未复发。结论 鼻腔SMH临床症状缺乏特异性,病理学表现独特,手术彻底切除病变是有效的治疗手段。

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    Objective To analyze and summarize the clinical and pathological characteristics of four cases of nasal cavity seromucinous hamartoma(SMH).Methods Summarize and analyze the clinical,radiological,pathological and prognostic data of 4 patients with nasal cavity SMH diagnosed at the Second People’s Hospital of Liaocheng City from 2019 to 2023.Results There were 4 patients,3 males and 1 female.Age range from 23 to 66 years old,with an average age of 39.75 years old.The main symptoms of the 4 patients were unilateral nasal congestion and purulent discharge.Three lesions were located in the uncinate process,and one lesion was located in the middle turbinate.Pathological changes manifest was clustered or lobular proliferation of mucinous glands and ducts under the mucosa.All patients underwent endoscopic lesion resection and have been followed up to date,with no recurrence.Conclusion The clinical symptoms of nasal cavity SMH lack specificity,and the pathological manifestation are unique.Thorough surgical removal of the lesion is an effective treatment method.

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  • 收稿日期:2024-03-07
  • 最后修改日期:2024-05-24
  • 录用日期:2024-05-27
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