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作者们介绍了两个典型病例,从临床症状、CT检查皆疑诊为鼻窦恶性肿瘤,但经多次病检最后确定为炎性假性瘤。本文就此进行了讨论。炎性假性瘤多发于眼眶附近,约占眼眶内肿瘤的8～21.5%。本病除视力障碍外,有的侵入颅内出现脑神经症状。炎症特征性改变如白细胞增多、血沉加快、丙种球蛋白增高、C-反应性蛋白阳性等并不一定皆出现。CT检查对确定其病变部位、范围、性质有一定价值。本病具有瘤样外观,多为灰白色或白色,呈弹性、软骨样硬或骨样硬。少数病例可引起骨质变薄或破坏,有的视神经管扩大并侵入颅内。病理组织学检查可确诊。 Birsh-Hirshfeld氏曾将本病分为三类:(1)临床上呈眼眶肿瘤症状,全身不存在结核、白血病、假性白血病等,药物疗法可治愈。(2)临床上虽有眼眶肿瘤症状,但眼眶探查术并无肿
The authors present two typical cases of suspected sinus cancer from clinical symptoms and CT examinations. However, after several tests, they were finally confirmed as inflammatory pseudotumor. This article discussed this. Inflammatory pseudotumor occur in the vicinity of the orbit, accounting for about 8 to 21.5% of orbital tumors. In addition to visual impairment of the disease, some invade intracranial neurological symptoms. Features such as inflammatory changes such as leukocytosis, ESR, gamma globulin increased, C-reactive protein-positive, etc. are not necessarily all appear. CT examination to determine the location of the lesion, extent, nature of a certain value. The disease has a tumor-like appearance, mostly gray or white, elastic, cartilage-like or bone-like hard. A small number of cases can cause bone thinning or destruction, and some enlargement of the optic canal and invade the brain. Histopathological examination can be confirmed. Birsh-Hirshfeld’s had classified the disease into three categories: (1) clinical orbital tumor symptoms, the body does not exist in tuberculosis, leukemia, leukemia, etc., drug therapy can be cured. (2) Although there are clinical orbital tumor symptoms, orbital exploration and no swelling