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在鼻窦恶性肿瘤中,额窦癌甚少见且难以治疗。本文报告一例60岁男性患者,主诉右前额部肿胀及额痛。1976年5月右前额被铁棒打伤成一拇指头大的肿胀区,数日后消退。同年12月用脏工作服擦眼后发生右上睑肿胀并逐渐加重,曾被诊断为外伤性额窦炎。1977年3月疼痛加重,右上睑肿胀显著以致不能睁眼,乃入院治疗。检查:全身情况无异常。从右前额部至眉间明显肿胀、发红,较软,有穿破倾向。未扪到区域淋巴结。鼻中隔轻度偏曲,右中鼻道有息肉。X线照片见双侧额窦腔内有阴影,右额窦边缘不整。断层摄影示右额窦前、后壁有骨缺损。血沉值:1小时42mm。乃行鼻外额窦手术探查,发现皮下即有菜花状肿瘤增生。右额窦前壁大块缺损,窦
In sinus malignancies, frontal sinus cancer is rare and difficult to treat. This article reports a 60-year-old male patient complained of swelling and pain in his right forehead. In May 1976, his right forehead was wounded by a steel bar into a large swollen area with thumbs, and then dissipated in a few days. In December the same year with dirty overalls wipe the right upper eyelid swelling and gradually increased, has been diagnosed as traumatic frontal sinusitis. March 1977 increased pain, swelling of the right upper lid significantly so that they can not open their eyes, is admitted to hospital. Check: The whole body is normal. Obvious swelling from the right forehead to the eyebrows, redness, softer, there is a tendency to wear. No palpable regional lymph nodes. Slight deviation of the nasal septum, the right middle nasal polyps. X-ray see bilateral frontal sinus cavity shadow, right frontal sinus margin is not the whole. Tomography showed right frontal sinus, posterior wall of bone defects. ESR: 1 hour 42mm. Is nasal foreign nasal surgery exploration, found that subcutaneous Cauliflower tumor hyperplasia. Right frontal sinus large chordal defect, sinus