摘要
目的:分析头颈部结节性筋膜炎(nodular fasciitis,NF)的临床特点、诊治和预后。方法:回顾性分析华中科技大学同济医学院附属同济医院1990至2022年收治的7例原发于头颈部的NF病例,男性3例,女性4例,年龄2~67岁。总结该病的发病部位、病程、临床表现、影像学表现和治疗结果。结果:7例患者的原发部位分别为鼻前庭、鼻窦、鼻背、蝶鞍斜坡、颈部、声门下和扁桃体。3例表现为2个月之内迅速生长的皮下无痛性包块,1例表现为咯血、声嘶和气喘28 d,1例表现为涕中带血2个月,1例表现为头痛1个月,1例为体检发现扁桃体新生物3 d。5例患者做了CT检查,病灶均表现为软组织密度影,其中2例同时做了MRI检查,表现为T1等信号或T2稍长异常信号影。所有患者均行单纯手术切除肿物。术后随访13个月~10年,均无复发。结论:原发于头颈部的NF少见,临床症状和影像学表现不典型。手术是治疗NF的主要手段,治疗效果良好。
Objective To analyze the clinical features,diagnosis,treatment and prognosis of nodular fasciitis(NF)in the head and neck.Methods Seven cases of primary NF in the head and neck admitted to Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from 1990 to 2022 were retrospectively analyzed,including 3 males and 4 females,aged from 2 to 67 years,and the location,course of disease,clinical manifestations,imaging findings,and treatment results of the disease were summarized.Results Of the 7 patients,the primary sites were respectively nasal vestibule,paranasal sinus,nasal dorsum,sella turcica and clivus,neck,subglottis,and tonsil.Three cases presented with rapidly growing subcutaneous painless masses within 2 months,1 case presented with hemoptysis,hoarseness and asthma for 28 days,1 case presented with blood in the nasal discharge for 2 months,1 case presented with headache for 1 month,and 1 case was found to have tonsillar neoplasms on physical examination for 3 days.CT was performed in 5 patients and the lesions showed soft tissue density shadows,and MRI was also performed in 2 of them,which showed T1 isointensity or T2 slightly long abnormal signal shadows.All patients underwent simple surgical resection of the mass.The patients were followed up for 13 months to 10 years,and none had recurrence.Conclusion Primary NF in the head and neck is rare,with atypical clinical symptoms and imaging findings.Surgery is the mainstay of treatment for NF with good results.
作者
陈请国
褚汉启
陶雁玲
彭利艳
Chen Qingguo;Chu Hanqi;Tao Yanling;Peng Liyan(Department of Otolaryngology-Head and Neck Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华耳鼻咽喉头颈外科杂志》
CSCD
北大核心
2023年第8期781-785,共5页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
头颈部肿瘤
结节性筋膜炎
临床特点
误诊
预后
Head and neck neoplasms
Nodular fasciitis
Clinical features
Misdiagnosis
Prognosis
作者简介
通信作者:彭利艳,Email:liyanpeng@163.com。
