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Wysłany: Sob 11:27, 26 Mar 2011 Temat postu: mulberry bags sale Nasal CT diagnosis of 13 cases |
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Nasal cavity CT diagnosis of 13 cases of granuloma
13 fall in this group, men in 9 cases, 4 females; aged 19 to 68 years, mean 42 years. The main clinical manifestations of nasal discomfort, progressive nasal obstruction, first water-like or bloody secretions. And changed to purulent pus or blood, and possessed the stench. Some patients with fever, low white blood cell count, sore throat, tinnitus, and generalized weakness. See nasal cavity examination of soft tissue masses of varying sizes, often accompanied by thickening of nasal mucosa and erosion. l3 cases were confirmed by pathology, 2 down surgical resection,[link widoczny dla zalogowanych], 7 patients with radiotherapy. All patients Siemens SOMATOMPlus4 or GE8800 CT scanner-based inspection, routine canthal line to listen to the baseline thickness, layer from the are 5mm. CT examination in 13 cases the results were seen in the nasal cavity soft tissue mass, l0 cases of unilateral, bilateral in 3 cases. Tumor sizes, smallest 1.54 ~ 1.78cm, so are the soft tissue mass (5 cases), some aspects of the scan almost the entire ten or completely filled the nasal cavity. 3 of inverted mass (2 cases of unilateral, bilateral 1 feeding) were ipsilateral or bilateral choanal involving the nasopharynx. In addition to the nasal cavity lesions were filled with 5 exceptions, and the remaining 8 cases of tumors more rounded shape, edge finishing rules. 5 cases in front of the nasal cavity, middle 3 cases, all of uniform mass density. Film can be thickened nasal ministries fools, but mainly for the symmetry of the inferior turbinate mucosal hypertrophy. 3 patients in this group, see the maxillary sinus lesions in patients with large medial wall of a resorbable bone destruction. Broke into the sinuses within the tumor. 2 cases of maxillary sinus bone wall with sclerosis. The other 3 down there on the maxillary sinus mucosa showed hypertrophy. 4 cases of ethmoid air cell density increased. 2 of them fall within the operation were confirmed malignant maxillary and ethmoid granulation tissue. 1 patient was associated with ulcerated swelling on the palate. Other cases no increase physical body lymph nodes and other positive signs. Discuss their understanding of the different malignant granuloma. So many names, such as lethal midline granuloma, necrotizing granulomas, idiopathic facial midline granuloma and malignant reticular cells increased psychosis name. Not yet fully understand its causes now, infection, cancer and other theories. The main pathological Author: 230022 Affiliated Hospital of Anhui Medical University, Taiwan Fertilizer analysis of CT Room 7. *} {7 bow o,[link widoczny dla zalogowanych], features: ① strong tendency to tissue necrosis; ② morphology of tumor cells were pleomorphic; ③ necrosis and inflammatory cell infiltration of malignant granuloma of the nose to form the basic background structure, shaped reticular cells scattered in various between inflammatory cells. Most people have it included in malignant tumors of granulomatous disease and We-gener's granulomatosis apart. Most scholars believe that this disease is a malignant tumor of the lymphatic system, reticulated, it was found by immunohistochemical analysis of tumor cells of malignant granuloma and T-cell lymphoma of the same nature J. The Wegener's granulomatosis is a vascular disease caused by allergic inflammation or an allergic autoimmune diseases. Malignant granuloma of the nasal cavity can be unilateral or bilateral, mostly unilateral,[link widoczny dla zalogowanych], unilateral cases in this group accounted for 76.92%. cT mainly as in the nasal cavity before the middle. Sizes of round or oval soft tissue mass, mass edge of the clear rules. Larger lesions may take unilateral or bilateral nasal cavity mass involving the nasopharynx by the Department after the nose can cause deformation or occlusion of the nasopharynx. All lesions density, low density within which showed no necrosis and cystic areas and high-density calcification. Nasal mucosa with the characteristic changes. Mostly at the symmetry of the inferior turbinate mucosal hypertrophy. Some patients with maxillary higher density of honey and honey screening, nasal sinus disease can damage bone structure than invasive sinuses, it can also spread directly through the sinus openings. Another more sensitive to radiotherapy of malignant granuloma. Lesions after treatment significantly reduced or disappeared. Nasal cavity and nasal cavity cancer should granuloma, papilloma and polyp phase identification. Nasal sinus cancer, the cancer involved more by their primary account for only a few. So not only has obvious performance cT sinus disease and nasal lesions with malignant features. Irregular infiltrating growth,[link widoczny dla zalogowanych], often accompanied by lesions were osteolytic bone destruction. Although benign nasal papilloma, but with strong invasive ability. Often accompanied by sinus involvement. More than a bone erosion and destruction. Granulomatous mass in the nasal cavity of uniform density. Edge of the clear, often accompanied by hypertrophic inferior turbinate mucosa symmetry, when only the larger lesions of bone around the sinus wall are absorbed damage. Nasal polyps in the cT uneven density on the performance of some water samples showed low-density lesion.
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