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首页> 美国卫生研究院文献>European Journal of Medical Research >Endoscopic approach to the resection of adenoid cystic carcinoma of paranasal sinuses and nasal cavity: case report and own experience
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Endoscopic approach to the resection of adenoid cystic carcinoma of paranasal sinuses and nasal cavity: case report and own experience

机译：鼻内鼻窦和鼻腔腺样囊性癌切除的内窥镜治疗：病例报告及体会

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摘要

Adenoid cystic carcinoma (ACC) is a rare malignant tumor that might occur in nasal cavity and paranasal sinuses. It is characteristic for poor prognosis, especially the solid histopathological subtype of the tumor. ACC might spread along nerves and fascias and it is usually diagnosed at advanced stage. Computed tomography and magnetic resonance imaging together with fine-needle biopsy are the gold standards in the diagnostic procedure of the cancer. Surgery with adjuvant therapy are the most common methods of treatment. Among the surgical approaches, the functional endonasal sinus surgery seems to be the most appropriate and favorable way of treatment. In the study, the authors present a case of a 62-year-old patient with T4aN0M0 ACC tumor treated endoscopically at the Department of Laryngology and ENT Oncology, WSS No. 5 in Sosnowiec. The authors indicate the usefulness of FESS procedure in the treatment of malignancies of nasal cavity and paranasal sinuses. They also review the recent publications on endonasal versus open approach in similar cases. In conclusions, the authors favor endonasal approach as a mini-invasive method of surgical treatment of ACC of paranasal sinuses that results in satisfactory oncological outcome and high quality of patient’s life.
机译：腺样囊性癌（ACC）是一种罕见的恶性肿瘤，可能发生在鼻腔和鼻旁窦中。它是预后不良的特征，尤其是肿瘤的实体组织病理学亚型。 ACC可能会沿着神经和筋膜扩散，通常在晚期被诊断出。计算机断层扫描和磁共振成像以及细针穿刺活检是癌症诊断程序中的金标准。辅助治疗手术是最常见的治疗方法。在外科手术方法中，功能性鼻窦手术似乎是最合适，最有利的治疗方法。在这项研究中，作者介绍了一例62岁的T4aN0M0 ACC肿瘤患者的病例，该患者在Sosnowiec的WSS No.5喉科和耳鼻喉科进行了内镜治疗。作者指出FESS程序在治疗鼻腔和鼻旁鼻窦的恶性肿瘤中的有用性。他们还回顾了最近发表的有关类似情况下鼻内与开放方式的出版物。总而言之，作者赞成采用鼻内入路术作为鼻旁窦ACC手术治疗的微创方法，这种方法可带来令人满意的肿瘤学结果和高质量的患者生活。

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