Overholt S L, Gado M, Sessions D G, Ogura J H
Laryngoscope. 1978 Nov;88(11):1769-83. doi: 10.1288/00005537-197811000-00007.
The angiographic features of various lesions of the head and neck are presented. Angiographically, cavernous hemangiomas display large venous lakes with calcified phleboliths. Arteriovenous malformations reveal massive tumor stain with well delineated feeding vessels from multiple systems. Chemodectomas and juvenile nasopharyngeal angiofibromas are clearly vascular with homogenous tumor staining in the capillary phase. Angiography of cavernous hemangioma, AVM, chemodectoma, and angiofibroma is diagnostic and may preclude the need for tissue biopsy. Angiographically neurilemmomas are less vascular with non-homogenous tumor stain. Carcinomas are typically avascular. The use and benefits of arterial embolization in the management of these lesions is presented.
本文介绍了头颈部各种病变的血管造影特征。在血管造影方面，海绵状血管瘤表现为有钙化静脉石的大静脉湖。动静脉畸形显示大量肿瘤染色，有来自多个系统的清晰界定的供血血管。化学感受器瘤和青少年鼻咽血管纤维瘤在毛细血管期明显血管丰富，肿瘤染色均匀。海绵状血管瘤、动静脉畸形、化学感受器瘤和血管纤维瘤的血管造影具有诊断性，可能无需进行组织活检。在血管造影中，神经鞘瘤血管较少，肿瘤染色不均匀。癌通常无血管。本文还介绍了动脉栓塞在这些病变治疗中的应用及益处。
