上呼吸-消化道的淀粉样变性,是一种少见的肿物,多发生于喉、舌和口腔粘膜,而在鼻腔则很不常见。1975年Legros等曾复习过去文献报告的10例,并附以本人报告的一例。这些病例皆有外鼻明显畸形,并侵犯筛窦、上颌窦,都经鼻侧切开取除肿物兼行上颌窦内侧壁部分切除。本文报告的一例37岁女性患者、原发于上颌窦的淀粉样变性。患者就诊前一个月,左颊部有压迫感,低头时加重,无鼻堵或鼻溢液。X线鼻窦片显示左侧上颌窦、蝶窦和筛窦模糊,诊断为粘液囊肿。行上颌窦根治探查手术,发现上颌窦外侧壁有裂隙,窦腔内充满灰色、肉红色的息肉样肿一块,上颌窦的上壁,后壁亦均有裂隙;将左中鼻道的一些小息肉一并去除。病理报告为鼻息肉和 Upper respiratory tract - Amyloidosis of the digestive tract, a rare tumor that occurs mostly in the larynx, tongue and oral mucosa, but is uncommon in the nasal cavity. In 1975, Legros et al. Reviewed 10 cases of past literature reports and attached one case of my report. These cases are obvious external deformities nasal deformities, and violations of the ethmoid sinus, maxillary sinus, nasal resection are removed by the tumor and concurrent partial maxillary sinus wall resection. This article reports a 37-year-old woman with primary amyloidosis in the maxillary sinus. One month before the patient’s visit, left cheek pressure department, bow to aggravate, no nasal congestion or nasal discharge. X-ray sinus films showed the left maxillary sinus, sphenoid sinus and ethmoid fuzzy diagnosis of mucous cysts. Line maxillary sinus radical exploration surgery and found that the lateral wall of the maxillary sinus fissure, sinus filled with gray, red meat polypoid swollen, the upper wall of the maxillary sinus, the posterior wall are also cracks; the left middle ear canal of some small Polyps removed together. Pathological reports for nasal polyps and