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鼻腔淋巴瘤1例和文献分析
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Abstract:
目标：提高对鼻腔淋巴瘤的认识及其确诊率，总结鼻腔淋巴瘤发病机制、病因、临床表现、诊断、治疗及相关研究进展。方法：回顾性分析一例中年男性鼻腔淋巴瘤患者资料，同时进行相关病例以及文献分析。结果：该患者以“间断鼻塞1月余”之主诉入院，副鼻窦CT显示1) 右侧上窦及鼻腔内软组织密度，和上颌内侧壁骨质吸收：考虑为鼻息肉，请结合镜检。2) 左侧下鼻甲肥大，鼻道阻塞。诊断：1) 鼻腔肿物待诊2) 慢性–鼻鼻窦炎3) 慢性乙型肝炎。患者拒绝术前鼻腔肿物活检以明确肿物性质，并签署拒绝治疗同意书。择期行经鼻内镜下行鼻腔肿物切除术 + ESS术，术后常规肿物病检免疫组化结果考虑为NK/T细胞淋巴瘤。结论：鼻腔肿物应尽早完善相关影像学检查与肿物活检，早期明确诊断，若明确鼻腔淋巴瘤，应结合相关放化疗方式进行治疗。
Aim: To summarize the pathogenesis, etiology, clinical manifestations, diagnosis, treatment and related research progress of nasal lymphoma, and to improve their awareness and diagnosis rate. Methods: Retrospective analysis of a patient with mid-life nasal lymphoma in men, as well as, related cases and literature analysis. Results: The patient was admitted to the hospital with “intermittent nasal congestion more than 1 month”, the secondary sinus CT show 1) The density of soft tissue in the upper sinus and nasal cavity on the right side, and the upper jaw inner wall bone absorption: considered as nasal polyps; please combine with the mirror examination. 2) The left lower nasal armor is large and the nasal passage is blocked. Diagnostics: 1) Nasal swelling swollen to be diagnosed 2)
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