12*5mm的蝶窦息肉需要做手术吗？恶变概率有多大？

a****h

我因为长期鼻塞，在澳洲做了CT发现蝶窦里有个12*5mm的息肉，
没有其他症状，就是长期鼻塞，之前一直认为是下鼻甲肥大。

请问这种情况可以下鼻甲减容术和蝶窦息肉手术一起做吗？
如果不做手术息肉会恶变么？生长速度一般有多快？

a****h

Report: CT SCAN OF THE PARANASAL SINUSES The history of nasal blockage with intermittent pain in the region of the frontal sinuses is noted. The frontal sinuses and the frontoethmoidal recesses are clear. Mild mucosal thickening is noted within the most anterior of the right ethmoid air cells. The remaining ethmoid air cells are clear. There is a localised polyp associated with the floor of the left spheoid sinus measuring 12x5mm.Elsewhere,the sphenoid sinuses are clear. The ostium of the sphenoid sinus and the adjacent sphenoethmoidal recess appear to be patent on both sides . Both maxillary sinuses are clear. The ostium of the maxillary sinus and the adjacent infundibulum are patent on both sides . There is no significant deviation of the nasal septum. No focal nasal polyps identified. No obvious pathology visualised in the posterior nasopharynx. normal and symrnetrical .  The mastoid air cells and middle ear cavities are fully aerated.

c****8

对于鼻息肉可定时观察，如严重鼻塞头疼，可做病理，尽量早手术治疗

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林*昕

首先，蝶窦息肉是不会引起鼻腔通气不畅的，除非很大，其次，单纯蝶窦息肉不是很常见，最后，息肉单纯用药治疗恐怕效果不会太好，即使用药缩小，停药后很多会复发。若确定是息肉一般不会恶变，但单纯ct检查很难明确蝶窦内肿物的性质。因此，个人认为还是应该手术治疗，并做病理检查。

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