山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (1): 43-46.doi: 10.6040/j.issn.1673-3770.0.2015.390

• 论著 • 上一篇    下一篇

CT对鼻腔鼻窦内翻性乳头状瘤起源的探讨

张梅华1,张念凯1,单长胜2,刘婷婷1,连媛媛1   

  1. 1.青岛大学附属医院耳鼻咽喉头颈外科, 山东 青岛 266000;
    2.山东单县中心医院, 山东 单县 274300
  • 收稿日期:2015-09-11 出版日期:2016-02-16 发布日期:2016-02-16
  • 通讯作者: 张念凯. E-mail:znkent@163.com E-mail:qyzmh0713@163.co
  • 作者简介:张梅华. E-mail:qyzmh0713@163.co

Diagnostic value of CT of origin of nasal inverted papilloma.

ZHANG Meihua1, ZHANG Niankai1, SHAN Changsheng2, LIU Tingting1, LIAN Yuanyuan1   

  1. 1. Department of Otolaryngology &Head and Neck Surgey, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China;2. Shanxian Central Hospital, Shanxian 274300, Shandong, China
  • Received:2015-09-11 Online:2016-02-16 Published:2016-02-16

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摘要： 目的 探讨鼻腔鼻窦内翻性乳头状瘤起源的CT影像学特点。 方法 回顾性分析47例经鼻内镜手术及术后病理组织学确诊的鼻腔鼻窦内翻性乳头状瘤患者的CT影像学资料。对肿瘤病变在CT上的骨质变化进行分析,并与术中发现的肿瘤起源根蒂部位进行对比,分析CT影像中骨质改变与肿瘤起源之间的关系。 结果 47例患者中,39例有骨质增生影像表现,其中37例骨质增生部位与肿瘤起源的根蒂部位一致,一致性达78.7%,提示可根据骨质增生部位推测肿瘤起源位置。 结论 CT影像中的骨质增生与鼻腔鼻窦内翻性乳头状瘤的根蒂起源部位有较高的一致性,有助于术前评估肿瘤起源和指导术前制定合理的手术方案。

关键词: 肿瘤起源, 内翻性乳头状瘤, X线计算机, 体层摄影术, 骨质增生

Abstract: Objective To explore the CT imaging features of the origin of nasal inverted papilloma. Methods All 47 cases of sinonasal inverted papilloma were confirmed by nasal endoscopic surgery and pathology. Their CT imaging data were collected and analyzed retrospectively.Bone changes of the tumor were observed and the relationship between the bone changes in CT images and the tumor origin were studied. Results Among 47 patients, 39 had imaging performance of bone density increase, including 37 of bone hyperplasia parts in accordance with the orgin of tumor and the consistency was 78.4%, suggesting that the orgin of the tumor could be speculated according to the bone hyperplasia parts. Conclusion Bone hyperplasia on CT imaging has a high consistency with the origin of nasal inverted papilloma,which helps to predict origin of tumor and to guide a reasonable scheme before surgery.

Key words: Tomography, X-ray computed, Inverted papilloma, Bone hyperplasia, Tumor origin

中图分类号: 

  • R739.62
[1] Choi J W, Kim S G, Kim Y M, et al. Clinical and histologicfeatures of inverted papilloma-associated malignancy[J]. Eur Arch Otorhinolaryngol, 2012, 14(32):2349-2354.
[2] 房高丽,王成硕,张罗.鼻腔鼻窦内翻性乳头状瘤起源部位的影像学研究进展 [J].临床耳鼻咽喉头颈外科杂志,2014,28(23):1902-1906. FANG Gaoli, WANG Chengshuo, ZHANG Luo. Prediction of the original location of sinonasal invertedpapilloma by preoperative imaging[J]. J Clin Otorhinolaryngol Head Neck Surg(Chin), 2014, 28(23):1902-1906.
[3] 梁青壮,李德志,徐震纲, 等.鼻腔-鼻窦内翻性乳头状瘤临床及其相关研究进展[J].中国耳鼻咽喉颅底外科杂志, 2015, 21(1):80-84. LIANG Qingzhuang, LI Dezhi, XU Zhengang, et al. Clinical and research progress of nasal-paranasal sinuses papilloma[J]. Chin J Otorhinolaryngol Skull Base Surg, 2015, 21(1):80-84.
[4] Ulkumen B, Kaplan Y, Kıroglu A F, et al. Pediatric invertedpapilloma of the middle ear: case report and review of the literature[J]. International Journal of Pediatric Otorhinolarygology Extra, 2014, 9(3):1037-1041.
[5] Eweiss A, Al Ansari A, Hassab M. Invertedpapilloma involvingthe frontal sinus: a management plan[J]. Eur Arch Otorhinolaryngol, 2009, 266(12):1895-1901.
[6] 刘晓华, 黄雪琨, 陈婷婷, 等.鼻内翻性乳头状瘤及其肿瘤分级和起源的CT和MRI研究[J].中国现代医生, 2013, 51(18):83-85. LIU Xiaohua, HUANG Xuekun, CHEN Tingting, et al. The staging and origin-identification of nasal inverted papilloma using CT and MRI[J]. Chin Modern Doctor, 2013, 51(18):83-85.
[7] 肖武, 刘善凤, 王立银, 等.人类乳头状瘤病毒与鼻内翻性乳头状瘤关系的Meta分析[J].临床耳鼻咽喉头颈外科杂志, 2013, 27(11):572-576. XIAO Wu, LIU Shanfeng, WANG Liyin, et al. Meta analysis of the relationship between human papillomavirus and nasal inverted papilloma[J]. J Clin Otorhinolaryngol Head Neck Surg(Chin), 2013, 27(11):572-576.
[8] Syrhanen K, Syrjane S. Detection of human papillpma virus in sinonasal papillomas: systematic review and meta- analysis[J]. Laryngoscope, 2012, 30(15):104-115.
[9] Saha S N, Ghosh A, Sen S, et al. Inverted papilloma: a clinicopathological dilemma with special reference to recurrence and malignant transformation[J]. Indian J Otolaryngol Head Neck Surg, 2010, 62(4):354-359.
[10] 于焕新, 刘钢.鼻内翻性乳头状瘤恶变32例临床分析[J].中华耳鼻咽喉头颈外科杂志, 2013, 48(12):1002-1005. YU Huanxin, LIU Gang. Malignant transformation of sinonasal inverted papilloma: retrospective analysis of 32 cases[J]. Chin J Otorhinol Head Neck Surgery, 2013, 48(12):1002-1005.
[11] 董怿, 周兵, 王成硕, 等.CT与MRI检查对单侧上颌窦病变的诊断价值 [J].中华耳鼻咽喉头颈外科杂志, 2013, 48(11):895-900. DONG Yi, ZHOU Bing, WANG Chengshuo, et al. CT and MRI diagnosis of lesions in unilateral maxillary sinus[J]. Chin J Otorhinol Head Neck Surgery, 2013, 48(11):895-900.
[12] Osuch-Wojcikiewicz E, Wojas O, Nyckowska J, et al. Management of recurrent sinonasal inverted papilloma in the experience of ENT department medical university of warsaw[J]. Otolaryngol Pol, 2010, 64(7):73-76.
[13] Xiao T W, Peng L, Xiu Q W. Factors affecting recurrence of sinonasal Inverted papilloma[J]. Eur Arch Otorhinolaryngol, 2013, 270(4):1349-1353.
[14] Lee D K, Chung S K, Dhong H J, et al. Focal hyperos tosis on CT of sinonasal inverted papilloma as a predictor of tumor origin[J]. Am J Neuroradiol, 2007, 28:618-621.
[15] 叶菁, 周文胜, 江红群, 等.CT中骨质变化对鼻腔鼻窦内翻性乳头状瘤的诊断价值[J].中华耳鼻咽喉头颈外科杂志, 2009, 44(2):141-144. YE Jing, ZHOU Wensheng, JIANG Hongqun, et al. Diagnostic value of osseous versity on CT to sinonasal inverted papilloma[J]. Chin J Otorhinol Head Neck Surgery, 2009, 44(2):141-144.
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