Endoscopic management of an inverted nasal papilloma in a child
Endoscopic management of an inverted nasal papilloma in a child
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DOI：
10.1016/s0194-5998(98)70289-x
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发表时间：
1998-06-01
影响因子：
3.4
通讯作者：
Spiro, J
中科院分区：
文献类型：
--
作者：
Cooter, MS;Charlton, SA;Spiro, J
鼻窦乳头状瘤是一种罕见的良性肿瘤，起源于外胚层来源的鼻腔和鼻窦粘膜，经典的说法是施奈德膜。早在1854年就有关于这些肿瘤的报道，但直到1971年，Hyams才正式用组织学术语描述了这些病变，并将其分为倒置细胞、外生细胞和柱状细胞类型。内翻性乳头状瘤（IP）是最常见的类型，占所有施奈德乳头状瘤的60%至70%。2然而，总体而言，IP仅占所有鼻肿瘤的0.5%至4%。3内翻性乳头状瘤主要发生在50或60岁的男性中。只有不到30例报告发生在儿童或青少年。如果不完全切除，内翻性乳头状瘤有复发的趋势，可能是局部破坏性的，并且与恶性肿瘤有关。这些特点使得完全手术切除成为IP治疗的主要手段。通过侧鼻切开术或面中部脱套术进行广泛切除是目前公认的治疗这种病变的“金标准”。然而，最近，一些作者提出内镜手术作为一种选择，为明确的管理精心挑选的肿瘤。
Sinonasal papillomas are rare, benign tumors that arise from ectodermally derived nasal and paranasal sinus mucosa, known classically as the Schneiderian membrane. Anecdotal reports of these tumors date as far back as 1854, but it was not until 1971 that Hyams, 1 in a large series reported from the Armed Forces Institute of Pathology, formally described these lesions in histologic terms and subclassified them into inverted, exophytic, and columnar cell types. The inverted papilloma (IP) is the most common type, accounting for 60% to 70% of all Schneiderian papillomas. 2 Overall, however, IPs represent only 0.5% to 4% of all nasal tumors. 3 Inverted papillomas are found predominantly in men in the 5th or 6th decades of life. Fewer than thirty cases have been reported in children or adolescents.Inverted papillomas have a tendency to recur if not completely excised, can be locally destructive, and are associated with malignancy. 4 These characteristics have made complete surgical excision the mainstay of treatment for IP. Wide excision via lateral rhinotomy or midfacial degloving is currently the accepted “gold standard” for management of this lesion. Recently, however, a number of authors have proposed endoscopic surgery as an option for definitive management of carefully selected tumors.