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发生在上颌窦的涎腺混合瘤较罕见,现将我院经手术病理证实的1例报告如下。1 病例介绍 病例女,52岁,1年前无任何诱因出现鼻塞、流涕、伴头痛,呈持续性、无脓血,感冒时加重,经对症治疗无效。体检:面部外观无隆起。左上颌窦区及眼眶下部有压痛。左鼻腔粘膜充血,鼻道有3×2×2 cm肿物,触及易出血。下甲表面呈桑椹样。实验室检查无特殊。临床诊断:肥厚性鼻炎,鼻腔肿物。 X线检查:瓦氏位摄片见左侧上颌窦腔扩大,密度增高,并见有软组织块影。周围骨壁结构不清,其内、外、下壁骨质破坏吸收,X线诊断上颌窦癌。
Occurred in the maxillary sinus salivary gland mixed tumor is rare, now our hospital was confirmed by surgical pathology in 1 case reported as follows. A case description Female case, 52 years old, a year ago without any incentive for nasal obstruction, runny nose, with headache, was persistent, no blood, aggravating colds, the symptomatic treatment is invalid. Physical examination: facial appearance no uplift. Left maxillary sinus area and lower orbital tenderness. Left nasal mucosa congestion, nasal passages 3 × 2 × 2 cm tumor, easy to reach bleeding. Under the surface of mulberry-like appearance. No special laboratory test. Clinical diagnosis: hypertrophic rhinitis, nasal tumor. X-ray examination: Valsalvae radiographs see the left maxillary sinus cavity expansion, increased density, and see soft tissue block shadow. The surrounding bone wall structure is unclear, its internal and external wall destruction of bone destruction, X-ray diagnosis of maxillary sinus cancer.