Archontaki M, Stamou A K, Hajiioannou J K, Kalomenopoulou M, Korkolis D P, Kyrmizakis D E
ENT Division, General Hospital of Rethymnon, Crete, Greece.
Acta Otorhinolaryngol Ital. 2008 Dec;28(6):309-11.
Cavernous haemangioma of the nose is a rare lesion but it has to be added to the differential diagnosis of an intra-nasal bleeding mass. A high index of suspicion, upon computed tomography delineation of the extent of the mass, including the presence of bone remodelling plus histological evaluation can be usefully employed to define an accurate diagnosis. In the present case of an adult female with a huge cavernous haemangioma arising from the mucosa of the left middle nasal meatus, the two most interesting points were the rarity as a site of occurrence of this tumour and the successful extirpation of this lesion with the minimally invasive trans-nasal endoscopic technique. We recommend the minimal invasive trans-nasal endoscopic technique for adequate exposure, sufficient control of bleeding and for complete removal of a nasal haemangioma reaching the nasopharynx and paranasal sinuses.
鼻腔海绵状血管瘤是一种罕见的病变，但在鼻腔出血性肿物的鉴别诊断中必须将其考虑在内。在计算机断层扫描明确肿物范围（包括骨重塑情况）的基础上，保持高度怀疑，并结合组织学评估，有助于做出准确诊断。在本病例中，一名成年女性的巨大海绵状血管瘤起源于左侧中鼻道黏膜，该肿瘤发生部位罕见，且采用微创经鼻内镜技术成功切除了该病变，这两点最为引人关注。我们推荐采用微创经鼻内镜技术，以实现充分暴露、有效控制出血，并完整切除累及鼻咽部和鼻窦的鼻腔血管瘤。
