Escobar Sanz-Dranguet P, Márquez Dorsch F J, Sanabria Brassart J, Gutiérrez Fonseca R, Villacampa Aubá J M, Pastormerlo G, Cenjor Español C
Servicio de Otorrinolaringología, Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Acta Otorrinolaringol Esp. 2002 Feb;53(2):135-8. doi: 10.1016/s0001-6519(02)78292-7.
Inflammatory pseudotumor is a rare benign lesion of unknown etiology which was first described in the lung. In head and neck the areas most commonly involved are the orbit and paranasal sinuses, but they have been also described in the larynx, pterygomaxilar space, tonsils, ears, gingiva and other periodontal tissues. We present a case of a 64 years old male who presented a three months history of right nasal obstruction. Physical examination showed a big nasal tumor arising from the nostril. CT scan shows nasal fossa mass with a normal paranasal sinuses. Histology made the diagnosis of an inflammatory pseudotumor. The lesion was surgically removed trough a midface degloving approach. The patient has no signs of recurrence two years after surgery. Data about diagnosis, treatment and outcome of inflammatory pseudotumors is revised also in this paper.
炎性假瘤是一种病因不明的罕见良性病变,最初在肺部被描述。在头颈部,最常受累的部位是眼眶和鼻窦,但也有在喉、翼上颌间隙、扁桃体、耳、牙龈和其他牙周组织中被描述的情况。我们报告一例64岁男性患者,有三个月的右鼻阻塞病史。体格检查发现一个从鼻孔长出的大鼻肿瘤。CT扫描显示鼻腔肿块,鼻窦正常。组织学诊断为炎性假瘤。通过面中部掀翻入路手术切除了病变。术后两年患者无复发迹象。本文还对炎性假瘤的诊断、治疗和转归数据进行了综述。