Isolated Inverting Papilloma of the Sphenoid Sinus: Clinical Presentations, Imaging Manifestations, and Therapeutic Strategies

Isolated Inverting Papilloma of the Sphenoid Sinus: Clinical Presentations, Imaging Manifestations, and Therapeutic Strategies
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孤立性蝶窦内翻乳头状瘤:临床表现、影像表现和治疗策略

DOI:
10.1097/scs.0b013e31825434fc
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发表时间:
2012-07
影响因子:
0.9
通讯作者:
Zhong, Baishu
Zhong, Baishu
中科院分区:
医学4区
文献类型:
--
作者:
Chen, Haihong;Zhou, Shuihong;Wang, Shenqing;Zhong, Baishu

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孤立性蝶窦内翻性乳头状瘤(IP)是罕见的,在英文文献中报道了大约50例患者。由于其罕见性,科学家们很少关注孤立性IP的临床和影像学特征。方法我们描述了3例孤立性蝶窦IP的临床表现、影像学表现和手术方法,并回顾了1970年至2011年的英文文献。结果59例孤立性蝶窦IP(包括我们的病例)中,40例有CT或MRI检查。最常见的症状是头痛。26例发现蝶筛隐窝病变。8例行增强磁共振检查的患者,肿瘤明显强化。我们发现26例骨质破坏,8个病灶显示了正确的肿瘤起源。结论蝶筛窝息肉样肿块是诊断蝶窦IP的重要依据。CT上骨质破坏是本病的一个共同特征,并与原发肿瘤部位密切相关。蝶窦IP的恶性转化是非常罕见的。
Background Isolated inverting papilloma (IP) of the sphenoid sinus is rare, with about 50 patients reported in the English-language literature. With its rarity, scientists have paid less attention to the clinical and radiographic characteristics of isolated IPs arising from the sphenoid sinus. Methods We describe the clinical presentation, imaging manifestations, and surgical methods of isolated IPs from the sphenoid sinus in 3 patients and review the English-language literature from 1970 to 2011. Results In total, 59 cases of isolated sphenoid sinus IPs (including our cases) have been reported, 40 patients with computed tomography or magnetic resonance imaging details. The most common presentation is headache. Lesions were found in the sphenoethmoidal recess in 26 cases. In 8 patients who underwent enhanced magnetic resonance imaging, the tumor was obviously intensified. We found 26 patients with bony destruction, and 8 lesions revealed the correct tumor origin. Conclusions A polyp-like mass in the sphenoethmoidal recess strongly implied the diagnosis of an IP in the sphenoid sinus. Bony destruction on computed tomography is a common characteristic of this disease and had a close relationship with the original tumor site in our study. Malignant transformation of IPs in the sphenoid sinus is much scarcer.
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