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面中线致死性肉芽肿,又称坏死性肉芽肿、恶性肉芽肿。较为少见,预后差。本文报告一例,化疗无效。后经放疗,效果良好,至今健在。患者男,48岁。右鼻塞流脓涕伴同侧颊部肿胀半年,间歇性涕中带血、鼻恶臭感三个月,于1980年6月9日入院。右鼻腔宽大,下甲萎缩,粘膜暗红,表面覆以黄褐色干痂,下甲前部有二个直径约0.3～0.5cm的类圆型溃疡,底部骨质暴露,边缘肉芽组织增生。右颊部肿胀压痛,鼻咽部(-),X线片示右上颌窦腔密度均匀增高。右上颌窦穿刺抽
Midline fatal granuloma, also known as necrotizing granuloma, malignant granuloma. It is rare and the prognosis is poor. One case reported in this article was that chemotherapy was not effective. After the radiotherapy, the effect is good, and is still alive. Male patient, 48 years old. The right nasal obstruction with purulent swelling was accompanied by swelling on the same side of the cheek for six months. The intermittent phlegm with blood and nausea smelled for three months and was admitted on June 9, 1980. The right nasal cavity is wide, the lower arm is atrophic, the mucosa is dark red, the surface is covered with yellow-brown dry cockroaches, and there are two round-shaped ulcers with an approximate diameter of 0.3-0.5 cm in the lower part of the lower arm. The bottom bone is exposed and the edge granulation tissue is proliferated. Swelling and tenderness of the right cheek, nasopharyngeal (-), and X-ray showed a uniform increase in the density of the right maxillary sinus cavity. Right maxillary sinus puncture