摘要
1病例报告
患者,男,35岁,因鼻塞、涕中带血1个月余于2014年5月8日入住我科。患者于1余年前因鼻塞、鼻出血在当地医院诊断为＂鼻息肉＂,＂经鼻内镜行鼻息肉摘除术＂。术后病理检查示：（鼻腔）慢性炎症（此病理切片经我院病理科会诊后诊断一致）。术后鼻塞、鼻出血症状缓解。近1个月,患者再次出现鼻塞,呈间歇性,渐进性加重,天气寒冷时明显,右侧严重,流黄色黏性涕,伴涕中带血,偶有头痛，多为双侧颞区闷痛．既往无高血压、糖尿病、血液及神经系统疾病史。
Primitive neuroectodermal tumor（PNET）is a small round cell malignancies,normally confined to the chest wall and soft tissues of children and young adults,and reports of this tumor existing in nasal cavity are scarce.We herein present a case of nasal PNET.A 35-year-old male patient presented with a chief complaint of stuffy nose was diagnosed with a primary nasal pPNET by the clinical,microscopic,immunohistochemical features.Since these tumors are highly aggressive and patient prognosis is typically very poor,early diagnosis,immediate surgical resection and re-resection if possible,early radiotherapy and chemotherapy and close follow-up are required.We also review literatures on pPNET.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第5期476-477,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
