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患者 男,65岁,因左鼻根与左眼内眦部进行性肿胀3个月而入院。全身物理检查未见异常。局部检查:左眼内眦与下睑内上方肿胀隆起约4.5×4.5×3cm,触有乒乓球感,表皮颜色正常,无压痛,眼球运动视力均正常,挤压泪囊无分泌物,鼻腔及鼻咽部未见异常。X线片及CT扫描:左眶内壁泪囊及筛窦区可见软组织密度影,左上颌窦腔受累,窦壁无破坏。X线及CT均报告为筛窦上颌窦恶性肿瘤。于1994年7月23日在气管插管全麻下行鼻侧切开术,术中见4×4×4.5cm椭圆形肿物,呈暗紫色有包膜,切片呈实心状,压迫筛窦。部分筛房破坏消失,肿物下端以管状形式向下延伸,管变粗变硬中央无腔隙,其半径0.4～0.5cm,直至下鼻道鼻泪管开口处。上颌窦被肿物挤压腔变小,窦粘膜除水肿处无肿物,各壁无骨破
The patient, male, 65 years old, was admitted to the hospital for a period of 3 months due to progressive swelling of the left nasal root and left eye. Physical examination showed no abnormalities. Local examination: left eyelid and lower eyelid swelling up about 4.5 × 4.5 × 3cm, touch a sense of ping-pong, the skin color is normal, no tenderness, visual acuity were normal, no lacrimal extrusion secretions, nasal cavity and No abnormal nasopharyngeal. X-ray and CT scan: left orbital wall of the lacrimal sac and ethmoid sinus soft tissue density can be seen, left maxillary sinus involvement, sinus wall without damage. X-ray and CT were reported as ethmoid sinus cancer. On July 23, 1994 in nasal endotracheal intubation under general anesthesia, intraoperative see 4 × 4 × 4.5cm oval tumor, dark purple capsule, slice solid shape, oppression of the ethmoid sinus. Part of the destruction of the screen room disappears, the lower end of the tumor extends downwards in the form of a tube, the tube becomes thick and hard central without lacuna, the radius of 0.4 ~ 0.5cm, until the opening of the nasolacrimal duct nasal mucosa. Maxillary sinus was squeezed by the tumor smaller, sinus mucosa in addition to no tumor at the edema, the walls without bone fracture