Caylakli Fatma, Cağici Alper Can, Hürcan Cem, Bal Nebil, Kizilkiliç Osman, Kiroglu Fikret
Department of Otorhinolaryngology-Head and Neck Surgery, Başkent University Faculty of Medicine, Ankara, Turkey.
Ear Nose Throat J. 2008 Jul;87(7):391-3.
Most cavernous hemangiomas present at birth or soon after. Cavernous hemangiomas of the nasal cavity, which are rare, usually do not present until adulthood; their incidence peaks in the fourth decade of life. Most affected patients experience epistaxis or hemoptysis and an enlarging lesion in the nose. Histologically, cavernous hemangiomas appear as closely packed, dilated vascular channels lined with a layer of flattened endothelial cells. We describe the case of a 32-year-old man who was admitted to our clinic with the complaint of a nasal obstruction. On anterior rhinoscopy, he was found to have a hypervascularized and hypertrophied left middle turbinate and septal deviation. Computed tomography and magnetic resonance imaging of the paranasal sinuses demonstrated a well-defined cystic lesion that had arisen within the bony left middle turbinate and caused deviation of the septum to the right. The lesion was excised via endoscopic surgery with general anesthesia. No complications occurred during the postoperative period. Histologic examination identified the tumor as a cavernous hemangioma. To the best of our knowledge, this is the first case reported in the English-language literature of a cavernous hemangioma appearing as a cystic mass in the middle turbinate.
大多数海绵状血管瘤在出生时或出生后不久出现。鼻腔海绵状血管瘤较为罕见，通常直到成年才会出现；其发病率在生命的第四个十年达到峰值。大多数受影响的患者会出现鼻出血或咯血以及鼻子里不断增大的病变。在组织学上，海绵状血管瘤表现为紧密排列、扩张的血管通道，内衬一层扁平内皮细胞。我们描述了一名32岁男性的病例，他因鼻塞主诉入住我们的诊所。在前鼻镜检查中，发现他左侧中鼻甲血管增生、肥大且鼻中隔偏曲。鼻窦计算机断层扫描和磁共振成像显示，在左侧骨性中鼻甲内出现了一个边界清晰的囊性病变，导致鼻中隔向右偏曲。该病变通过全身麻醉下的内镜手术切除。术后期间未发生并发症。组织学检查确定肿瘤为海绵状血管瘤。据我们所知，这是英文文献中首次报道的表现为中鼻甲囊性肿块的海绵状血管瘤病例。
