Isolated inverting papilloma of the sphenoid sinus
Isolated inverting papilloma of the sphenoid sinus
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DOI：
10.1097/00005537-200301000-00008
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发表时间：
2003-01-01
期刊：
影响因子：
2.6
通讯作者：
Castro, DJ
中科院分区：
文献类型：
--
作者：
Lee, JT;Bhuta, S;Castro, DJ
原发性蝶窦内翻性乳头状瘤是一种罕见的肿瘤。我们提出了一个孤立的参与蝶窦内翻性乳头状瘤的情况下，并讨论发病率，临床表现，影像学特征，组织学检查结果，和管理的患者与这种diseases.Study DesignCase report.MethodsThe的病历，电影，和病理切片孤立的蝶窦内翻性乳头状瘤的患者在加州大学洛杉矶医学中心进行了审查。的临床表现，影像学特征，组织病理学检查结果，治疗，和结果的情况下examined.ResultsA单一的情况下，内翻性乳头状瘤孤立的参与蝶窦。头痛和复视是主要症状，这在其他孤立性蝶窦病变中也很常见。内窥镜鼻内蝶窦切开术进行，并没有复发的疾病的证据已被视为6个月后的随访。ConclusionsIsolated内翻性乳头状瘤的蝶窦是一种罕见的现象。与绝大多数存在鼻部主诉的病例（即，单侧鼻塞、鼻出血），由于累及鼻侧壁，局限于蝶窦的内翻性乳头状瘤的临床表现往往是非特异性和隐匿性的，视力障碍是主要特征。然而，功能性鼻内镜下蝶窦切开术仍然是治疗这些病变患者的有效模式。
Objectives/HypothesisPrimary inverting papilloma of the sphenoid sinus is rare. We present a case of inverting papilloma with isolated involvement of the sphenoid sinus and discuss the incidence, clinical presentation, radiographic features, histological findings, and management of patients with this disease.Study DesignCase report.MethodsThe medical records, films, and pathology slides of a patient with isolated inverting papilloma of the sphenoid sinus seen at University of California Los Angeles Medical Center were reviewed. The clinical presentation, radiographic features, histopathological findings, treatment, and outcome of the case were examined.ResultsA single case of inverting papilloma with isolated involvement of the sphenoid sinus is presented. Headache and diplopia were the presenting complaints, as is often seen with other isolated sphenoid sinus lesions. Endoscopic intranasal sphenoid sinusotomy was performed, and no evidence of recurrent disease has been seen after 6 months of follow‐up.ConclusionsIsolated inverting papilloma of the sphenoid sinus is a rare phenomenon. In contrast to the vast majority of cases that present with nasal complaints (i.e., unilateral nasal obstruction, epistaxis) because of involvement of the lateral nasal wall, the clinical presentation of inverting papillomas confined to the sphenoid sinus is often nonspecific and insidious, with visual deficits being the predominant feature. Nevertheless, functional endoscopic intranasal sphenoidotomy remains an effective mode of treatment for patients with these lesions.