...
首页> 外文期刊>Journal of International Medical Research >Computed tomography and magnetic resonance imaging findings of nasal chondromesenchymal hamartoma in a young child: a case report
【24h】

Computed tomography and magnetic resonance imaging findings of nasal chondromesenchymal hamartoma in a young child: a case report

机译:幼儿中鼻腔软骨间充中性阴影和磁共振成像发现的计算机断层扫描和磁共振成像结果:案例报告

获取原文
           

摘要

Nasal chondromesenchymal hamartoma (NCMH) is a rare destructive benign neoplasm that predominantly develops in infants and young children. The lesion is usually located in the nasal cavity, often in the adjacent paranasal sinuses and orbital region and especially in the ethmoid sinus. Because the imaging characteristics of NCMH often mimic the features of malignant tumors, it is clinically important to study the radiographic appearance of this disease. Therefore, we herein present the computed tomography and magnetic resonance imaging findings of NCMH occurring in a 7-year-old girl. The mass was resected via an endoscopic surgical approach and definitively diagnosed as NCMH based on histologic and immunohistochemical analysis. However, signs of tumor recurrence manifested 45 months after surgery. NCMH can be locally aggressive with an expansive and destructive radiographic appearance, which highly implies a malignant neoplasm. Hence, an accurate diagnosis is essential to avoid potentially harmful therapies, and detailed computed tomography or magnetic resonance imaging should be performed prior to surgery. Selective arterial embolization is also an important part of preoperative management because the degree of enhancement may not be adequate to determine the blood supply of the tumor. Moreover, complete radical excision cannot guarantee that the lesion will not recur.
机译:鼻腔软骨瘤性阴离子瘤(NCMH)是一种罕见的破坏性良性肿瘤,主要在婴儿和幼儿中发展。病变通常位于鼻腔中,通常在相邻的胰岛鼻窦和眶区域,特别是在符号窦中。因为NCMH的成像特征通常模仿恶性肿瘤的特征,所以它在临​​床上研究这种疾病的射线照相外观。因此,在本文中,我们在7岁的女孩中出现了NCMH的计算断层摄影和磁共振成像结果。基于组织学和免疫组织化学分析,通过内窥镜手术方法并明确地被诊断为NCMH的质量。然而,手术后45个月表现出肿瘤复发的迹象。 NCMH可以是局部侵略性,具有膨胀和破坏性的射线照相外观,这极高意味着恶性肿瘤。因此,准确的诊断对于避免潜在有害的疗法至关重要,并且详细的计算断层扫描或磁共振成像应在手术前进行。选择性动脉栓塞也是术前管理的重要组成部分,因为增强程度可能不足以确定肿瘤的血液供应。此外,完全激进的切除不能保证病变不会重复。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号