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患者男性,63岁.因右面部麻木疼痛伴右侧头痛、右上牙痛50~+天入院.入院体检见右侧面颊明显肿胀、压痛.张口不受限,右上牙无松动、脱落,硬腭无下塌,扁桃体不大,鼻咽部无异常.右鼻腔通畅,未见新生物.上颌窦 X 线断层片示右上颌窦扩大,窦壁骨质有吸收破坏。实验室检查:血红蛋白115g/L,白细胞2.7×10~9/L,中性0.45,淋巴0.48,嗜酸0.02,单核0.05。入院后行右上颌窦穿刺,发现窦腔负压大,仅抽出少量血性分泌物,涂片送病检发现恶性肿瘤细胞。因患者不愿作大范围切除手术,故于90年8月30日在局麻下行右上颌窦探查活检术.术中发现上颌窦前、内、外壁均有
Male patient, 63 years old. Right facial numbness pain with right side headache, right upper earache 50~+ days admission. Admitted to physical examination, the right side of the cheek showed significant swelling, tenderness. Zhang mouth is not limited, the upper right tooth no loosening, shedding, no hard palate Collapse, tonsil is not large, no abnormal nasopharynx. Right nasal cavity unobstructed, no new creatures. Maxillary sinus X-ray slice shows the right maxillary sinus expansion, skeletal osmotic bone absorption and destruction. Laboratory tests: Hemoglobin 115 g/L, WBC 2.7×10 9/L, Neutral 0.45, Lymph 0.48, Eosinophilic 0.02, Mononuclear 0.05. After admission, he underwent right maxillary sinus puncture and found that the sinus cavity had a large negative pressure. Only a small amount of bloody secretions were extracted. The smears were sent to the patient for malignant tumor cells. Due to the patient’s unwillingness to perform a wide range of resections, the right maxillary sinus probing biopsy was performed under local anesthesia on August 30, 1990. During the operation, the maxillary sinus was found to have anterior, medial, and external walls.