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題 名 | Huge Thornwaldt's Cyst: A Case Report=巨大Thornwaldt's Cyst--病例報告 |
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作 者 | 林佳豪; 戴志峰; 李家和; 何坤瑤; 郭文烈; 王凌峰; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 22:10 民95.10 |
頁 次 | 頁524-528 |
分類號 | 416.879 |
關鍵詞 | 磁振造影; 鼻咽部囊腫; Thornwaldt's囊; Magnetic resonance imaging; Nasopharyngeal cyst; Thornwaldt's cyst; |
語 文 | 英文(English) |
中文摘要 | Thornwaldt’s 囊 (又稱為鼻咽囊) 位於鼻咽部中線位置的隱窩,為胚胎時脊索發育的遺跡。若其開口處因感染或是進行腺樣體切除術之併發症而導致阻塞,則形成 Thornwaldt’s 囊腫。我們提出 1 名 53 歲男性,主訴在一年之內漸進性鼻塞,在鼻咽內視鏡中發現在鼻咽部一巨大腫瘤,懷疑為 Thornwaldt’s 囊腫。經磁振造影檢查,大小 3.6 × 3.4 cm,T1 訊號中等強度,T2 訊號高強度,無骨骼破壞且和顱內無相連接。病患接受經鼻內視鏡手術腫瘤移除,術後病人症狀明顯改善。我們提出此一病例之治療並回顧鼻咽部囊腫的鑑別診斷方法。 |
英文摘要 | Thornwaldt’s bursa, also known as nasopharyngeal bursa, is a recess in the midline of the nasopharynx that is produced by persistent notochord remnants. If its opening becomes obstructed, possibly due to infection or a complication from adenoidectomy, a Thornwaldt’s cyst might develop. Here, we present a 53-year-old man who complained of nasal obstruction that had progressed for 1 year. Nasopharyngoscopy showed a huge nasopharyngeal mass. Thornwaldt’s cyst was suspected. Magnetic resonance imaging showed a lesion measuring 3.6 × 3.4cm, intermediate on T1-weighted and high signal intensity on T2-weighted imaging, neither bony destruction nor connection to the brain. The patient underwent endoscopic surgery for this huge mass. Afterwards, his symptoms improved significantly. We present the treatment and differential diagnosis of a nasopharyngeal cyst. |
本系統中英文摘要資訊取自各篇刊載內容。