Kimura Yurika, Tsutsumi Takeshi, Kuroishikawa Yasushi, Kishimoto Seiji
Department of Otolaryngology and Head and Neck Surgery, Tokyo Medical and Dental University School of Medicine, Yushima, Bunkyo-ku, Tokyo, Japan.
J Laryngol Otol. 2003 Jul;117(7):570-3. doi: 10.1258/002221503322113067.
We report on a rare case of angiolymphoid hyperplasia with eosinophilia (ALHE) arising from the facial artery, which was pre-operatively diagnosed as an aneurysm. ALHE is a rare lesion, the precise nature of which remains controversial: it is still unclear whether ALHE is a tumour or an inflammatory disease or whether it can be separated from Kimura's disease based on its pathological characteristics. ALHE rarely occurs in muscular arteries, and this is the first description of ALHE arising from the facial artery. Angiography vividly revealed the pathological structure of the lesion in this case, which prompted us to advocate angiography for diagnosing ALHE arising from muscular arteries. Complete dissection and cryotherapy proved to be effective treatment, although complete management of any therapeutic protocol should avoid recurrence of the lesion, whatever specific treatments are selected.
我们报告了一例罕见的由面动脉引发的伴有嗜酸性粒细胞增多的血管淋巴样增生症（ALHE），该病例术前被诊断为动脉瘤。ALHE是一种罕见病变，其确切性质仍存在争议：目前尚不清楚ALHE是肿瘤还是炎症性疾病，以及基于其病理特征能否将其与木村病区分开来。ALHE很少发生于肌性动脉，而这是首例关于面动脉引发ALHE的描述。血管造影清晰地显示了该病例病变的病理结构，这促使我们提倡对肌性动脉引发的ALHE进行血管造影诊断。尽管无论选择何种具体治疗方法，任何治疗方案的彻底管理都应避免病变复发，但完整切除并冷冻治疗被证明是有效的治疗方法。
