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題名 | Localized Nasopharyngeal Amyloidosis--A Case Report=鼻咽類澱粉沉積症--病例報告 |
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作 者 | 蔡育彤; 黃志銘; 陳瑜珍; 呂宜興; | 書刊名 | 慈濟醫學 |
卷期 | 17:5 民94.10 |
頁次 | 頁353-355+385 |
分類號 | 416.879 |
關鍵詞 | 類澱粉沉積; 鼻咽; 喉部; Amyloidosis; Nasopharynx; Larynx; |
語文 | 英文(English) |
中文摘要 | 發生在頭頸部的局限性類澱粉沉積症為罕見的良性疾病,上呼吸消化道類澱粉沉積症以喉部最為常見。文獻記載的局限性鼻咽部類澱粉沉積症只有極為少數,臨床症狀為反覆性鼻血、鼻塞、鼻涕倒流、耳咽管功能不良,治療上可以選擇觀察或手術切除,術後易有局部復發的現象,出血是手術治療最常見的併發症。本院於2003年2月經歷一名80歲女性病患,主訴經常性鼻涕伴有血絲,鼻咽內視鏡檢查顯示一黃色臘狀均質腫塊佔據左側上鼻咽部,鼻咽切片病理診斷證實為類澱粉沉積症,於是病患接受內視鏡摘除手術,術後至今20個月尚無復發現象。 |
英文摘要 | Amyloidosis in the head and neck is a rare but benign disease. The larynx is the most common site of localized amyloidosis in the respiratory tract. The nasopharynx is an unusual site. Patients complain of nasal obstruction, recurrent episodes of epistaxis, and ear problems secondary to Eustachian tube dysfunction. Bleeding is the major complication if excision is the choice of treatment. We present an 80-year-old woman who came to our OPD with a chief complaint of recurrent epistaxis. Nasopharyngoscopy revealed a yellowish polypoid mass in the region of the left Rosenmuller fossa and a biopsy verified the diagnosis of amyloidosis. Transnasal tumor excision was performed under nasopharyngoscopy. There was no evidence of recurrence on follow-up 20 months after surgery. To our knowledge, only rare cases of localized nasopharyngeal amyloidosis have been reported. |
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