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患者男,29岁。因鼻腔鼻窦畸胎癌肉瘤(sinonasal teratocarcinosarcoma,SNTCS)术后20 d,左颌下淋巴结肿大10余天,于2013年2月18日入院。患者2012年12月受轻度撞击鼻外伤,此后鼻腔间断少量血性分泌物,当地医院CT检查示左侧鼻骨骨折,副鼻窦炎。2013年1月30日在局麻下行手术治疗鼻骨骨折中发现左侧鼻腔灰白色息肉样新生物,行新生物切除术,手术顺利。病理检查示(左鼻腔)小细胞恶性肿瘤,其中含分化差的上皮成分,横纹肌肉瘤成分,原始神经成分。
Patient male, 29 years old. The left submandibular lymph node was enlarged for more than 10 days on day 20 after sinonasal teratocarcinosarcoma (SNTCS), and was admitted on February 18, 2013. Patients in December 2012 by mild hit nose injury, nasal intermittent a small amount of bloody discharge, the local hospital CT examination showed left nasal fracture, sinusitis. January 30, 2013 under local anesthesia surgical treatment of nasal bone fracture found in the left nasal gray polyp like new, the new biopsy, the operation was successful. Pathological examination showed (left nasal cavity) small cell malignancies, including poorly differentiated epithelial components, rhabdomyosarcoma composition, the original nerve component.