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目的:报道扁桃体滤泡树突细胞肉瘤(FDCS)1例,探讨其临床病理特点、诊断和鉴别诊断方法。方法:运用组织病理学、免疫组织化学及电镜观察扁桃体FDCS的特征,总结临床特点和治疗情况,并复习相关文献加以分析。该例患者于全身麻醉下行右侧扁桃体肿物低温等离子射频消融切除术。结果:术后随访2年局部无复发。结论:FDCS诊断主要依赖其免疫组织化学及电镜观察,该病极易误诊,运用低温等离子射频消融术治疗此种肿瘤需积累更多的临床经验。
OBJECTIVE: To report a case of tonsillar follicular dendritic cell sarcoma (FDCS), and to explore its clinical and pathological features, diagnosis and differential diagnosis. Methods: The characteristics of tonsil FDCS were observed by histopathology, immunohistochemistry and electron microscopy. The clinical features and treatment were summarized, and the related literatures were reviewed. The patient underwent general anesthesia underwent right-sided tonsil tumor radiofrequency ablation. Results: There was no recurrence after 2 years of follow-up. Conclusion: The diagnosis of FDCS mainly depends on its immunohistochemistry and electron microscopy. The disease is easily misdiagnosed. The application of cryogenic plasma radio frequency ablation in the treatment of such tumors requires more clinical experience.