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1病例报告患者,女,40岁,2009年12月因“反复流带血脓涕,鼻塞头痛2个月余”入院就诊。查体:左鼻腔黏膜充血,中下鼻道见脓血性分泌物,未见明显新生物。鼻部轴位及冠状位CT(图1a):左侧鼻腔顶及筛窦区见软组织团块,左侧上颌窦炎。于12月10日全身麻醉行鼻内镜下鼻腔及鼻窦新生物活检术及鼻外侧切开鼻腔鼻窦肿瘤切除术。术后病理检查示:(左侧鼻腔、鼻窦)病理诊断倾向恶性肿瘤(图1b)。免疫组织化学示:肿瘤细胞呈PCK(+)、
1 case report Patients, female, 40 years old, December 2009 due to “repeated flow bloody purulent nasal discharge, nasal congestion headache more than 2 months ” admission. Physical examination: left nasal mucosal congestion, abscess in the middle and lower nasal secretions, no obvious new creatures. Nasal axial and coronal CT (Figure 1a): the left nasal cavity and ethmoid sinus soft tissue mass, left maxillary sinusitis. In the December 10 general anesthesia under nasal endoscopic nasal and sinus biopsy and nasal sinus resection nasal sinus surgery. Postoperative pathological examination showed: (left nasal cavity, sinus) pathological diagnosis of malignant tumors (Figure 1b). Immunohistochemistry showed: tumor cells were PCK (+),