Author/Editor | Jeremić, Slobodan | |
Title | Rinosporidioza: etiološke, diagnostične in terapevtske dileme - kuvajtska izkušnja | |
Translated title | Rhinosporidiosis: etiologic, diagnostic and therapeutic dilemmas - Kuwait experience | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 39, št. Suppl 3 | |
Publication year | 2000 | |
Volume | str. 275-6 | |
Language | slo | |
Abstract | Rhinosporidiosis is known to be endemic in the Indian subcontinent and Sri Lanka, but can also be seen in Europe, USA, Brazil, Middle East an Africa. The characteristic lesion is a bleeding non-painful nasal polyp. At first sight carcinoma could be suspected as well as extramedular plasmocytoma. Diagnosis is confirmed with microbiological and histological examination of the removed tissue. Because of high proportion of recurrence rate among treated patients, the treatment of rhinosporidiosis is very difficult. Combination of surgical excision (cutting diathermy with local injection of Amphotericin B) may give the best results. | |
Summary | Čeprav je rinosporidioza pogosta predvsem na indijskem podkontinentu in Sri Lanki (endemska žarišča), jo je mogoče srečati tudi v Evropi, ZDA, Braziliji, pa tudi na Srednjem vzhodu in v Afriki. Za rinosporidiozo je značilen neboleč krvaveč polip, ki se običajno nahaja v nosni votlini in ki po svojem izgledu spominja na karcinom ali ekstramedularni plazmocitom. Diagnozo potrdimo s histopatološkim pregledom odvzetega tkiva in z mikroskopsko analizo nosnega brisa. Zdravljenje je zaradi pogostih ponovitev težavno in nehvaležno. Zdravljenje z zdravili ali kirurško zdravljenje (ekscizija polipa, kavterizacija baze) kot samostojni pristop pri obravnavi bolnikov z rinosporidiozo ne daje zadovoljivih rezultatov in je kombinacija obeh načinov vsekakor učinkovitejša. | |
Descriptors | RHINOSPORIDIOSIS NASAL POLYPS DIAGNOSIS, DIFFERENTIAL TREATMENT OUTCOME COMBINED MODALITY THERAPY |