临床上各种鼻及鼻窦肿瘤误诊为鼻息肉的报道甚多,如将鼻咽纤维血管瘤误诊为鼻息肉而轻率施行摘除手术,而酿成严重出血的后果;亦有将鼻息肉当作鼻咽纤维血管瘤而经腭部进路施术的教训。我院有二例初诊为鼻咽纤维血管瘤,其中一例活检后病理诊断,最终以鼻息肉手术方式摘除,减少了病人的痛苦。此举似有“冒险”之嫌,是否可取?以及如何对待病理诊断?值得提出商榷讨论。 There are many clinical reports of misdiagnosis of nasal and sinus tumors as nasal polyps. If the nasopharyngeal angiofibroma is misdiagnosed as nasal polyps, it is rashly performed with an ablation procedure, resulting in serious bleeding; there are also nasal polyps as nasal Pharyngeal Fibrous Hemangioma and Transabdominal Approach. There were two cases of newly diagnosed nasopharyngeal angiofibromas in our hospital. One case was pathologically diagnosed after biopsy and finally removed by nasal polyps. This reduced the patient’s pain. This move seems to be “adventure” suspicion, whether desirable and how to treat pathological diagnosis? It is worth discussing the issue.