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Sinonazal Bölge Benign Kemik Tümörlerinin Radyolojik Değerlendirmesi

Yıl 2020, Cilt: 11 Sayı: 39, 1 - 8, 19.05.2020
https://doi.org/10.17944/mkutfd.644305

Öz

Amaç: Sinonazal
bölgedeki benign kemik kitlelerini, sinonazal bölge ve komşu yapılarla
ilişkisinin radyolojik olarak değerlendirilmesi.

Gereç-yöntem: Sinonazal
bölgeden 2010-2016 yılları arasında elde edilen çok kesitli bilgisayarlı
tomografi (ÇKBT) ve manyetik rezonans görüntüleme (MRG) bulguları retrospektif
olarak değerlendirildi. Radyolojik bulgulara dayanarak, büyüklükleri nedeniyle
nadir görülen 41 olgu, histopatolojik özellikler ve lokalizasyonları çalışmaya
dahil edildi.

Bulgular: 41
olgunun 22'inde osteoma, 16'sında fibröz displazi, diğerlerinde anevrizmal
kemik kisti, enkondrom ve kahverengi tümör vardı.







Sonuç: Sinonazal bölgenin iyi huylu kemik tümörlerini
görüntülerken, ÇKBT ve MRG en sık kullanılan yöntemlerdir. Radyografi, bazı
durumlarda bir lezyonun varlığını gösterebilir, ancak lezyonun doğasını ve
lezyon ile komşu yapılar arasındaki ilişkileri belirlemekte yetersizdir

Kaynakça

  • Gray's anatomy (39e). Churchill Livingstone (2005).
  • Kandukuri R, Phatak S. Evaluation of Sinonasal Diseases by Computed Tomography. J Clin Diagn Res. 2016 Nov;10(11):TC09-TC12.
  • Eggesbø HB. Imaging of sinonasal tumours. Cancer Imaging 2012;7;12:136-152.
  • Razek AA. Imaging appearance of bone tumors of the maxillofacial region. World J Radiol 2011 May 28;3(5):125-134.
  • Dorfman HD, Czerniak B, Kotz R et al. WHO classification of tumours of bone: Introduction. In: Fletcher CDM, Unni KK, Mertens F, editors. World health organization classification of tumours: Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press, 2002: 227-32.
  • Hakim DN, Pelly T, Kulendran M, Caris JA. Benign tumours of the bone: A review. J Bone Oncol 2015 Mar 2;4(2):37-41.
  • Boeddinghaus R, Whyte A. Current concepts in maxillofacial imaging. Eur J Radiol 2008; 66:396-418.
  • Borges A. Skull base tumours Part II. Central skull base tumours and intrinsic tumours of the bony skull base. Eur J Radiol 2008; 66: 348-362.
  • Wenig BM, Mafee MF, Ghosh L. Fibro-osseous, osseous, and cartilaginous lesions of the orbit and paraorbital region. Correlative clinico pathologic and radiographic features, including the diagnostic role of CT and MR imaging. Radiol Clin North Am 1998; 36: 1241-1259.
  • Gürsoy M, Karaca Erdoğan N, Dağ F, Başoğlu MS, Rezanko Atasever T. Giant osteoma with intracranial extension filling sinonasal cavity: a rare case. Kulak Burun Bogaz Ihtis Derg 2015;25(1):51-55.
  • Bignami M, Dallan I, Terranova P et al. Frontal sinus osteomas: the window of endonasal endoscopic approach. Rhinology 2007;45:315–320.
  • Castelnuovo P, Valentini V, Giovannetti F et al Osteomas of the maxillofacial district: endoscopic surgery versus open surgery. J Craniofac Surg 2008;19:1446–1452.
  • Müderris T, Bercin S, Sevil E, et al. Endoscopic Removal of a Giant Ethmoid Osteoma with Orbital Extension. Acta Inform Med 2012; 20:266-268.
  • Acar A, Ünsal E, Dursun G. Paranasal sinus osteomas. K.B.B. ve BBC Dergisi 2001;11:110-113.
  • Kim KS. Headache Attributed to Fibrous Dysplasia of The Ethmoid Bone Mimicking Menstrual Migraine Without Aura. J Craniofac Surg.2016;Jun:27(4):e417-419.
  • Mueller DP, Dolan KD, Yuh WT. Fibrous dysplasia of the sphenoid sinus. Ann Otol Rhinol Laryngol 1992;101(1):100-101.
  • Lustig LR, Holliday MJ, McCarthy EF, Nager GT. Fibrous Dysplasia involving the skull base and temporal bone. Arch Otolaryngol Head Neck Surg.2001;127(10):1239-1247.
  • Barat M. Fibrous dysplasia masquerading as chronic maxillary sinusitis. Ear Nose Throat J. 1989;68(1):42,44-46.
  • Erdem LO, Erdem CZ, Kargı S. A case of monostotic fibrous dysplasia of the maxillary sinus. Kulak Burun Boğaz İhtis Derg 2003;10(5):208-211.
  • Tokano H, Sugimoto T, Noguchi Y, Kitamura K. Sequental computed tomography imagesdemonstrating charasteristic changes in fibrous dysplasia. J Laryngol Otol 2001;115(9):757-759.
  • Bozbuğa M, Turan Süslü H. Aneurysmal bone cyst of the sphenoid bone extending in to the ethmoid sinus, nasalcavity and orbita in a child. Turk Neurosurg 2009;19(2):172-176.
  • Janjua N, Cresswell M, Sharma R, Maheshwar A. Aneurysmal bone cyst of the ethmoid bone BMJ Case Rep. 2014 Apr 4;2014.
  • Khalatbari MR, Hamidi M, Moharamzad Y, Setayesh A, Amirjamshidi A. Brown tumors of the anterior skull base as the initial manifestation of true normocalsemic primary hyperparathyroidism: report of three cases and review of the literature. Turk Neurosurg. 2013;23(2):260-266.
  • L. Lichtenstein Classification of primary tumors of bone, Cancer 4 (1951):335–341.
  • Duarte VM, Suh JD, Sepahdari AR, Nelson SD. Sinonasal solitary enchondroma: Case report and review of the literature. International Journal of Pediatric Otorhinolaryngology. Extra 8 (2013);36–38.

Radiological Evaluation of Benign Bone Tumors of Sinonasal Region

Yıl 2020, Cilt: 11 Sayı: 39, 1 - 8, 19.05.2020
https://doi.org/10.17944/mkutfd.644305

Öz

Aim: To evaluate radiologically the benign bone masses in the sinonasal region and their relationship with adjacent structures.
Methods: Multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) of the sinonasal region were evaluated retrospectively between 2010-2016. Based on radiological findings, 41 cases rarely seen due to their size, histopathologic features and localizations were included in the study.
Results: Twenty-two of 41 cases had osteoma, sixteen had fibrous dysplasia, others had aneurysmal bone cyst, enchondroma and brown tumor.
Conclusion: When imaging benign bone tumors of sinonasal region, MDCT and MRI are the frequently used modalities. Radiography may show the presence of a lesion in some cases but is insufficient when it is aimed to determine the nature of the lesion as well as the relations between the lesion and the neighboring structures. 

Kaynakça

  • Gray's anatomy (39e). Churchill Livingstone (2005).
  • Kandukuri R, Phatak S. Evaluation of Sinonasal Diseases by Computed Tomography. J Clin Diagn Res. 2016 Nov;10(11):TC09-TC12.
  • Eggesbø HB. Imaging of sinonasal tumours. Cancer Imaging 2012;7;12:136-152.
  • Razek AA. Imaging appearance of bone tumors of the maxillofacial region. World J Radiol 2011 May 28;3(5):125-134.
  • Dorfman HD, Czerniak B, Kotz R et al. WHO classification of tumours of bone: Introduction. In: Fletcher CDM, Unni KK, Mertens F, editors. World health organization classification of tumours: Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press, 2002: 227-32.
  • Hakim DN, Pelly T, Kulendran M, Caris JA. Benign tumours of the bone: A review. J Bone Oncol 2015 Mar 2;4(2):37-41.
  • Boeddinghaus R, Whyte A. Current concepts in maxillofacial imaging. Eur J Radiol 2008; 66:396-418.
  • Borges A. Skull base tumours Part II. Central skull base tumours and intrinsic tumours of the bony skull base. Eur J Radiol 2008; 66: 348-362.
  • Wenig BM, Mafee MF, Ghosh L. Fibro-osseous, osseous, and cartilaginous lesions of the orbit and paraorbital region. Correlative clinico pathologic and radiographic features, including the diagnostic role of CT and MR imaging. Radiol Clin North Am 1998; 36: 1241-1259.
  • Gürsoy M, Karaca Erdoğan N, Dağ F, Başoğlu MS, Rezanko Atasever T. Giant osteoma with intracranial extension filling sinonasal cavity: a rare case. Kulak Burun Bogaz Ihtis Derg 2015;25(1):51-55.
  • Bignami M, Dallan I, Terranova P et al. Frontal sinus osteomas: the window of endonasal endoscopic approach. Rhinology 2007;45:315–320.
  • Castelnuovo P, Valentini V, Giovannetti F et al Osteomas of the maxillofacial district: endoscopic surgery versus open surgery. J Craniofac Surg 2008;19:1446–1452.
  • Müderris T, Bercin S, Sevil E, et al. Endoscopic Removal of a Giant Ethmoid Osteoma with Orbital Extension. Acta Inform Med 2012; 20:266-268.
  • Acar A, Ünsal E, Dursun G. Paranasal sinus osteomas. K.B.B. ve BBC Dergisi 2001;11:110-113.
  • Kim KS. Headache Attributed to Fibrous Dysplasia of The Ethmoid Bone Mimicking Menstrual Migraine Without Aura. J Craniofac Surg.2016;Jun:27(4):e417-419.
  • Mueller DP, Dolan KD, Yuh WT. Fibrous dysplasia of the sphenoid sinus. Ann Otol Rhinol Laryngol 1992;101(1):100-101.
  • Lustig LR, Holliday MJ, McCarthy EF, Nager GT. Fibrous Dysplasia involving the skull base and temporal bone. Arch Otolaryngol Head Neck Surg.2001;127(10):1239-1247.
  • Barat M. Fibrous dysplasia masquerading as chronic maxillary sinusitis. Ear Nose Throat J. 1989;68(1):42,44-46.
  • Erdem LO, Erdem CZ, Kargı S. A case of monostotic fibrous dysplasia of the maxillary sinus. Kulak Burun Boğaz İhtis Derg 2003;10(5):208-211.
  • Tokano H, Sugimoto T, Noguchi Y, Kitamura K. Sequental computed tomography imagesdemonstrating charasteristic changes in fibrous dysplasia. J Laryngol Otol 2001;115(9):757-759.
  • Bozbuğa M, Turan Süslü H. Aneurysmal bone cyst of the sphenoid bone extending in to the ethmoid sinus, nasalcavity and orbita in a child. Turk Neurosurg 2009;19(2):172-176.
  • Janjua N, Cresswell M, Sharma R, Maheshwar A. Aneurysmal bone cyst of the ethmoid bone BMJ Case Rep. 2014 Apr 4;2014.
  • Khalatbari MR, Hamidi M, Moharamzad Y, Setayesh A, Amirjamshidi A. Brown tumors of the anterior skull base as the initial manifestation of true normocalsemic primary hyperparathyroidism: report of three cases and review of the literature. Turk Neurosurg. 2013;23(2):260-266.
  • L. Lichtenstein Classification of primary tumors of bone, Cancer 4 (1951):335–341.
  • Duarte VM, Suh JD, Sepahdari AR, Nelson SD. Sinonasal solitary enchondroma: Case report and review of the literature. International Journal of Pediatric Otorhinolaryngology. Extra 8 (2013);36–38.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Original Articles
Yazarlar

Gülen Burakgazi 0000-0003-4913-4838

Hanifi Bayaroğulları Bu kişi benim 0000-0001-6147-5876

Yayımlanma Tarihi 19 Mayıs 2020
Gönderilme Tarihi 8 Kasım 2019
Kabul Tarihi 2 Aralık 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 11 Sayı: 39

Kaynak Göster

Vancouver Burakgazi G, Bayaroğulları H. Sinonazal Bölge Benign Kemik Tümörlerinin Radyolojik Değerlendirmesi. mkutfd. 2020;11(39):1-8.