Large cholesterol granuloma arising from the frontal sinus--case report.
Large cholesterol granuloma arising from the frontal sinus--case report.
复制标题
额窦产生的大胆固醇肉芽肿——病例报告。
DOI：
10.2176/nmc.41.283
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发表时间：
2001
影响因子：
1.9
通讯作者：
S. Wakisaka
中科院分区：
文献类型：
--
作者：
H. Ochiai;Y. Yamakawa;T. Fukushima;S. Nakano;S. Wakisaka
一位59岁男性，因额窦出现一个大的胆固醇肉芽肿而就诊，表现为额头上一个大的、起伏的、柔软的肿块，压迫左眼。头颅X线片显示额窦扩张。计算机断层扫描和磁共振成像显示囊性肿块延伸到左侧眼眶和前颅窝。额部开颅术时的大体检查显示粘液性、深绿色液体与发光物质混合。组织学诊断为胆固醇肉芽肿伴上皮衬里。大的胆固醇肉芽肿伴面部畸形常伴有骨骼和美容问题。额窦大开，囊肿壁切除，颅骨整形修复是必要的。
A 59-year-old male presented with a large cholesterol granuloma arising from the frontal sinus manifesting as a large, fluctuated, soft mass in his brow, compressing left eye. Skull radiography showed dilation of the frontal sinus. Computed tomography and magnetic resonance imaging revealed a cystic mass extending into the left orbit and anterior cranial fossa. Gross inspection at the frontal craniotomy showed mucinous, dark green fluid intermingled with shining material. The histological diagnosis was cholesterol granuloma with epithelial lining. Large cholesterol granuloma with facial deformity is always associated with bone and cosmetic problems. Wide opening of the frontal sinus followed by cyst wall removal and plastic repair of the skull is necessary.