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我科于1978年~1990年间采用冷冻外科对41例鼻和鼻窦恶性肿瘤施行了治疗,对部分病例冷冻后不同时间与部位取材进行组织学观察,经随访,治疗效果比较满意,总结如下.1临床资料1.1 病变部位及病理诊断:外鼻恶性肿瘤:包括鼻窦、鼻背、鼻炎等共15例.病理分类;基底细胞癌8例,鳞状细胞癌4例,恶性黑色素瘤3例.鼻腔、鼻窦恶性肿瘤:包括鼻甲、鼻中隔、筛窦、上颌窦等共26例.病理分类:内翻型乳头状瘤恶变(或有恶变倾向者)10例,嗅神经母细胞瘤4例,腺样囊性场3例,恶性黑色素瘤6例,非何杰金氏淋巴瘤3例.1.2治疗方式单纯液氮冷冻法:外鼻恶性肿瘤15例全部采用此法,用冷冻器喷头对准病变部位直接喷
In our department from 1978 to 1990, 41 cases of nasal and nasal malignant tumors were treated by cryosurgery. Histological observation was made at different time and site of frozen in some cases. After follow-up, the treatment effect was satisfactory, which is summarized as follows.1 Clinical data 1.1 lesions and pathological diagnosis: external nasal malignancy: including sinus, nasal back, rhinitis, a total of 15 cases.Pathological classification; basal cell carcinoma in 8 cases, squamous cell carcinoma in 4 cases, 3 cases of malignant melanoma.Nasal, Sinus cancer: Including the turbinate, nasal septum, ethmoid sinus, maxillary sinus a total of 26 cases.Pathological classification: inverted papilloma malignant (or malignant tendency) in 10 cases, olfactory neuroblastoma in 4 cases, adenoid cyst 3 cases of sexual field, 6 cases of malignant melanoma, 3 cases of non-Hodgkin’s lymphoma .1.2 Treatment Simple liquid nitrogen freezing method: 15 cases of external nasal malignancy using this method, with the freezer nozzle alignment of the lesion directly spray