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鼻腔脓性肉芽肿(妊娠瘤)。病例报告。

Pyogenic granuloma (pregnancy tumor) of the nasal cavity. A case report.

作者信息

Jones J E, Nguyen A, Tabaee A

机构信息

Department of Otorhinolaryngology, Cornell University Medical College, New York, New York 10021, USA.

出版信息

J Reprod Med. 2000 Sep;45(9):749-53.

Abstract

BACKGROUND

Pyogenic granuloma is a benign lesion of unknown etiology that occurs in the skin and mucous membranes. It has been reported as a common lesion of the oral cavity and, less commonly, the nasal cavity. Although its etiology is unclear, pyogenic granuloma has long been associated with pregnancy, oral contraceptives and trauma. The term pregnancy tumor has been used to reflect the association with pregnancy; nevertheless, pyogenic granuloma is often misdiagnosed in obstetric patients.

CASE

We present the case of a 37-year-old, pregnant woman with an enlarging nasal mass ultimately diagnosed as pyogenic granuloma. The patient was treated successfully with endoscopic excision of the lesion.

CONCLUSION

Pyogenic granuloma is a rapidly growing lesion that should be considered in the differential diagnosis of any gravid patient with a mass in the oral or nasal cavity. The lesion may result in complications of the pregnancy, and management should be individualized for each patient.

摘要

背景

化脓性肉芽肿是一种病因不明的良性病变,发生于皮肤和黏膜。据报道,它是口腔的常见病变,鼻腔病变则较少见。尽管其病因尚不清楚,但化脓性肉芽肿长期以来一直与妊娠、口服避孕药和创伤有关。“妊娠瘤”这一术语用于反映与妊娠的关联;然而,化脓性肉芽肿在产科患者中常被误诊。

病例

我们报告一例37岁孕妇,其鼻腔肿物逐渐增大,最终诊断为化脓性肉芽肿。该患者经内镜下切除病变后成功治愈。

结论

化脓性肉芽肿是一种生长迅速的病变,对于任何口腔或鼻腔有肿物的孕妇,在鉴别诊断时都应考虑到。该病变可能导致妊娠并发症,治疗应针对每位患者个体化进行。

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