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Cancer 46(6):1442,1980(英文)] 颅外和脊髓外脑膜瘤甚少见,多发生于眼眶、皮肤与耳区,原发于鼻及鼻窦者尤为鲜见。本文报道一例65岁男性黑人患者,因右眶区肿胀、痛和鼻塞伴流脓涕5周入院。体检:右眶周和上颌窦区蜂窝织炎,右眼球突出、视力稍减,眼底检查、外眼活动及其他神经系统均正常。可见鼻咽肿块扩至右鼻腔。鼻窦X线相和体层片示右鼻道和前筛窦大肿块,右上颌窦和眼眶内壁外移,犁骨和右前筛骨破坏。取经右侧Sewell和柯-陆氏切口,将肿瘤从右额窦剥离并予切除,同时作前筛窦和中鼻甲切除。病检证实为脑膜瘤。术后8月随访时,突出的右眼球大为退缩。患者情况良好。作者结合本例在讨论中指出:普遍赞同脑膜
Cancer 46(6):1442,1980(English)] Extracranial and extraspinal meningioma are rare, occurring mostly in the eyelids, skin, and ears, and are particularly rare in the nose and sinuses. This article reports a case of a 65-year-old male black patient admitted to the hospital for 5 weeks due to swelling, pain, and nasal congestion in the right temporal region. Physical examination: cellulitis in the right iliac crest and maxillary sinus, prominent right eyeballs, decreased visual acuity, fundus examination, external eye activity, and other nervous systems were normal. It can be seen that the nasopharyngeal mass expands into the right nasal cavity. The sinus X-ray and body masses showed large masses of the right nasal meatus and the anterior ethmoid sinus, the right maxillary sinus and the inner wall of the eyelid moved outwards, and the ulna and the right anterior ethmoid bone were destroyed. Take the right Sewell and Ke-Lu’s incision, and remove the tumor from the right frontal sinus and remove it. At the same time, take anterior ethmoid sinus and middle turbinate resection. The medical examination confirmed meningioma. At the follow-up period of 8 months after surgery, the prominent right eyeball retracted. The patient is in good condition. The author combined this example in the discussion pointed out: generally agreed with the meninges