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1979～1989年,我们收治腺样囊性癌(ACC)10例,均经病理证实,现报道如下。 1.临床资料:本组年龄33～65岁,平均47.9岁。肿瘤原发于鼻腔6例,上颌窦4例。从出现症状到确诊3个月至2年,平均10个月。主要症状为鼻塞、涕血、面部肿胀及头痛;主要体征为鼻腔肿物,面部膨隆。X线检查均示病变部位密度增高,5例有骨质破坏。病人就诊时均无局部或远处转移。 2.治疗与疗效:鼻腔ACC患者,行鼻侧切开术3例,术后7年死于复发和肺转移,带瘤生存1年及健康生存3年者各1例。行鼻侧切开加放疗1例,已健康生存7年;行上颌骨部分切除2例,术
From 1979 to 1989, we treated 10 cases of adenoid cystic carcinoma (ACC), both confirmed by pathology, are reported below. 1. Clinical data: The group aged 33 to 65 years, an average of 47.9 years old. Tumor origin in the nasal cavity in 6 cases, 4 cases of maxillary sinus. From the symptoms to the diagnosis of 3 months to 2 years, an average of 10 months. The main symptoms are nasal congestion, runny nose, facial swelling and headache; the main signs of nasal masses, facial bulging. X-ray examination showed lesions increased density, 5 cases of bone destruction. No local or distant metastases were seen during the patient’s visit. 2 treatment and efficacy: nasal ACC patients, nasal lateral incision in 3 cases, 7 died of recurrence and lung metastasis after surgery, with 1-year survival of the tumor and healthy survival of 3 years in 1 case. One case of nasal lateral incision plus radiotherapy had been healthy for 7 years; partial maxillary resection in 2 cases,