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| 題 名 | 嗅神經母細胞瘤合併頸部轉移--病例報告=Olfactory Neuroblastoma with Neck Metastasis--Case Report |
|---|---|
| 作 者 | 汪昇勳; 朱本元; 李永賢; 莫振東; 邵國寧; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
| 卷 期 | 32:6 1997.12[民86.12] |
| 頁 次 | 頁127-133 |
| 分類號 | 416.871 |
| 關鍵詞 | 嗅神經母細胞瘤; 知覺神經芽細胞腫; Olfactory neuroblastoma; Esthesioneuroblastoma; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 嗅神經母細胞瘤約佔所有鼻部惡性腫瘤的 3 %。好發年齡以 20 歲及 60 歲左右 為其兩個高峰期。男女發生比率約略相等。臨床表現並無特異性,多以單側鼻塞、流鼻血來 表現。因其具有緩慢進程之局部復發或遠端轉移的特性,故以徹底的手術治療合併放射治療 及長期追蹤病人為最好的處置方式。 臺北榮民總醫院於 1994 年 8 月經歷一嗅神經母細胞 瘤之病例,經以顱顏切除術及側鼻切開術徹底切除腫瘤及放射治療後,門診追蹤至 1996 年 9 月,發現其右側頸部淋巴結有轉移現象。經右側頸部廓清術後,追蹤至今,無局部復發或 其他遠端轉移現象。因病例之少見,特提出報告,並就嗅神經母細胞瘤之臨床症狀、分期、 預後和治療方法分別加以討論。 |
| 英文摘要 | Among the nasal malignant tumors, about 3% of them are diagnosed as olfactory neuroblastoma. It has been reported a bimodal age distribution with peaks in the second decades of life and later in the sixth decades. There is no predilection for either sex. With regard to symptoms, olfactory neuroblastoma do not differ from other tumors of the same sites. Unilateral nasal obstruction and recurrent epistaxis are the most ones. Combined radical surgical excision and irradiation therapy and long-term follow-up are considered the best treatment for patient. In August 1994, we encountered a patient with olfactory neuroblastoma. Radical surgery followed by postoperative irradiation therapy was performed. However, during follow-up, we noted the right neck lymph node metastasis in September 1996. Right modified neck dissection as a remedial step was performed. Fortunately, no recurrence or distant metastasis has been found since the surgical intervention. Because of its uncommonness, the clinical symptoms, stage, prognosis, as well as the treatment are discussed. |
本系統中英文摘要資訊取自各篇刊載內容。