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例1 男,17岁。双侧持续性鼻阻塞,反复多量鼻出血4个月。1990年11月21日入院。检查:鼻咽顶部有一淡红色肿物,约核桃大,表面有血迹,鼻咽部X线摄片见鼻咽腔呈现膨胀性改变,骨质无破坏,EBV-VCA-IgA阴性,诊断为鼻咽血管纤维瘤。全麻下经硬腭切口行鼻咽血管纤维瘤切除术及颈外动脉阻断术,术中见肿物基底部位于鼻咽顶后壁,质脆,无包膜,将肿物全部切除。术后病理报告为鼻咽部鳞状细胞癌。伤口愈合后即做放射治疗。随访3年2个月无复发。
Example 1 male, 17 years old. Bilateral persistent nasal obstruction, repeated large amounts of nose bleeding for 4 months. November 21, 1990 admitted to hospital. Check: the top of the nasopharynx has a light red mass, about large walnut, blood on the surface, nasopharynx X-ray showed swollen nasal pharynx showed no bone destruction, EBV-VCA-IgA negative diagnosis of nasal Pharyngeal angiofibroma. Under general anesthesia, the mastectomy was performed with nasopharyngeal angiofibroma resection and external carotid artery occlusion. The basal part of the tumor was located at the posterior wall of the nasopharynx in the operation, which was brittle and non-enveloped. All the tumors were resected. Postoperative pathology is nasopharyngeal squamous cell carcinoma. After the wound healing done radiotherapy. Follow-up 3 years 2 months without recurrence.