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鼻咽部恶性纤维组织细胞瘤罕见。现将我院收治一例报告如下: 患者,女,37岁,因反复鼻衄13年,伴左耳鸣,耳痛加重两年。以“鼻咽部乳头状瘤”入院。查体:轻度贫血貌,心肺无异常,肝脾未触及。左鼻后孔可见紫红色结节状物,表面光滑,触之易出血。间接鼻咽镜见:鼻咽前部一紫红色结节状肿物,约2×3 cm,附着干软腭背面前方稍偏左,并遮盖鼻中隔后下部及部分后鼻孔,软腭活动受限。胸透:心肺无异常。门诊病理活检为乳头状瘤。手术见肿瘤位于鼻中隔后端软腭与硬腭交界处,基底宽,与深部组织界限不清。
Nasopharyngeal malignant fibrous histiocytoma is rare. Now a case report from our hospital is as follows: The patient, female, 37 years old, with repeated nasal congestion for 13 years, with left tinnitus, earache aggravated for two years. A “nasopharyngeal papilloma” was admitted to the hospital. Physical examination: Mild anaemia appearance, no abnormalities in heart and lungs, and no contact between liver and spleen. A reddish purple nodule is visible in the posterior hole of the left nose. The surface is smooth, and it easily bleeds. Indirect nasopharyngeal see: a purple nodular mass in the anterior nasopharynx, about 2 × 3 cm, attached to the front of the back of the dry soft palate is slightly left, and cover the lower part of the posterior nasal septum and part of the nostril, soft palate activity is limited. Chest: No abnormalities in heart and lungs. Outpatient biopsy is papilloma. The surgery showed that the tumor was located at the junction of the soft palate and the hard palate at the posterior of the nasal septum, and the base was wide, and the boundary with the deep tissue was unclear.