Misiołek Maciej, Namyslowski Grzegorz, Scierski Wojciech, Czecior Eugeniusz, Lisowska Grazyna, Lange Dariusz
Katedra i Oddzial Kliniczny Laryngologii w Zabrzu SUM w Katowicach.
Otolaryngol Pol. 2007;61(6):987-9. doi: 10.1016/S0030-6657(07)70566-8.
Haemangiopericytoma is a rare vascular tumor originated from perivascular cells. A sinonasal-type of haemangiopericytoma is called glomangiopericytoma. This type of hemangiopericytoma is usually of low malignant potential. The most common symptoms are nasal breathing disturbances and epistaxis. The clinical diagnosis may be difficult. The radiological imaging techniques (CT) can provide adequate information with regard to extension of the tumor, although final histological confirmation is essential. Surgery is the treatment of choice. We present a case of 45-year-old male patient complaining of epistaxis and left side nasal obstruction. Radiological examination (CT) showed the tumor localized in the left nasal cavity extending to the left maxillary sinus and ethmoidal cells. The tumor was removed via lateral rhinotomy with complete amelioration of symptoms. The tumor was diagnosed as glomangiopericytoma by histologic and immunohistochemical findings. During the 16-months follow-up no recurrence or epistaxis was observed.
血管外皮细胞瘤是一种起源于血管周围细胞的罕见血管肿瘤。鼻窦型血管外皮细胞瘤称为血管球外皮细胞瘤。这种类型的血管外皮细胞瘤通常具有低恶性潜能。最常见的症状是鼻呼吸障碍和鼻出血。临床诊断可能困难。放射影像学技术(CT)可提供有关肿瘤范围的充分信息,不过最终的组织学确诊至关重要。手术是首选治疗方法。我们报告一例45岁男性患者,主诉鼻出血和左侧鼻塞。放射学检查(CT)显示肿瘤位于左侧鼻腔,延伸至左上颌窦和筛窦。通过鼻侧切开术切除肿瘤,症状完全缓解。通过组织学和免疫组化检查结果,该肿瘤被诊断为血管球外皮细胞瘤。在16个月的随访期间,未观察到复发或鼻出血。