Kapella M, Panosetti E, Rombaux P, Delos M, Weynand B
Department of Oto-Rhino-Laryngology & Head and Neck Surgery, Centre Hospitalier de Luxembourg, L-1210 Luxembourg.
Acta Otorhinolaryngol Belg. 2001;55(3):241-6.
Lobular Capillary Haemangioma of the nasal cavity: Observation of three specific cases. Lobular Capillary Haemangioma, unproperly called "Pyogenic granuloma", is a benign vascular tumour pedunculated on the skin and on mucous membranes of the oral and nasal cavities. Microtrauma and pregnancy are the most often evocated aetiologic factors. Epistaxis and nasal obstruction are the most marked symptoms of this irregular and friable mass. We report three cases (two adult and one paediatric) of this pathology. Two have as trigger factor a nasal microtrauma, the third an oestro-progestative impregnation. A clinical, radiological and histological description allows us to expose the characteristics of this lesion that remains obscure to many rhinologists. Lobular Capillary Haemangioma has to be evocated in the differential diagnosis of each haemorrhagic endonasal mass.
三例特殊病例观察。小叶状毛细血管瘤,常被不恰当地称为“化脓性肉芽肿”,是一种发生于皮肤以及口腔和鼻腔黏膜的带蒂良性血管肿瘤。微创伤和妊娠是最常提及的病因。鼻出血和鼻塞是这种形态不规则且质地脆弱肿物最显著的症状。我们报告了三例该病理情况(两例成人病例和一例儿童病例)。其中两例的诱发因素为鼻腔微创伤,第三例为雌孕激素影响。通过临床、放射学和组织学描述,我们得以揭示这种许多鼻科医生仍感模糊的病变特征。在鉴别诊断每一例鼻内出血性肿物时都应考虑小叶状毛细血管瘤。