腺样囊性癌是一种较常发生于腮腺、颌下腺等大涎腺的低度恶性肿瘤,易向肺部等处转移。发生于鼻腔鼻窦者较少见。本科92年曾收治1例。女,40岁,因鼻塞渐重二年余并流稀水样涕,涕中带血丝等,在当地医院诊为“过敏性鼻炎”,治疗无效,来我院。检查:麻黄素收缩鼻腔粘膜后见双鼻腔后部淡红色肿物。后鼻孔鼻咽部灰白乳头状肿物,约2×3cm;上腭粘膜中部见绿豆大粉红色肿块4粒。CT检查:鼻咽顶壁、双鼻腔中后部肿物,蝶骨底,枕骨斜坡骨质破坏,双侧翼腭窝增宽、蝶窦腔内见软组织密度影,双上颌窦,筛窦炎症。经鼻腔取活检及术后病检均诊为:腺样囊性癌。全麻插管下行上腭进路癌肿 Adenoid cystic carcinoma is a low-grade malignancy that occurs more often in the salivary glands, submandibular glands, and other large salivary glands, and is easily metastasized to the lungs and the like. Occurred in the nasal sinuses are less common. The undergraduate has been treated in 1 case in 92 years. Female, 40 years old, was admitted to our hospital because nasal congestion gradually swelled for more than two years and flowed into a thin layer of blood. The blood stained sputum was found in local hospitals as “allergic rhinitis”. Examination: The ephedrine shrinks the nasal mucosa and sees a pale red mass in the back of both noses. Posterior nasopharyngeal gray-papillary masses of the nasopharynx, approximately 2 × 3 cm; 4 mung-bean pink masses in the middle of the upper palate. CT examination: nasopharyngeal top wall, posterior tumor in both nasal cavities, sphenoidal bone, occipital slope bone destruction, bilateral pterygopalatine fossa widening, soft tissue density seen in sphenoid sinus cavity, double maxillary sinus, ethmoid sinus inflammation . After nasal biopsy and postoperative pathology were diagnosed as: adenoid cystic carcinoma. General anesthesia intubation down the upper approach cancer