Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pa 19104, USA.
Laryngoscope. 2013 Feb;123(2):331-3. doi: 10.1002/lary.23440. Epub 2012 May 30.
Angiomatosis is a rare benign lesion of the head and neck that can be mistaken for either a vascular malformation or malignant disease as a result of its infiltrative nature. The recurrence rate of angiomatosis requiring surgery is reported to be >90%, and as such the otolaryngologist treating this condition should endeavor to remove all disease during the first operation while maintaining a high level of suspicion for recurrence during postoperative surveillance. This case represents the first report of angiomatosis involving the nose and/or paranasal sinuses, and extends the differential diagnosis of sinonasal tumors, of which the otolaryngologist must be aware. A description of the surgical care and postoperative surveillance recommendations is detailed in this first reported case of angiomatosis of the paranasal sinuses.
血管病是一种罕见的头颈部良性病变，由于其浸润性，可能被误诊为血管畸形或恶性疾病。需要手术的血管病的复发率据报道>90%，因此治疗这种疾病的耳鼻喉科医生应在第一次手术中尽力切除所有病变，同时在术后监测中保持高度警惕复发的可能性。本例是首例累及鼻和/或鼻窦的血管病病例，扩大了鼻窦肿瘤的鉴别诊断范围，耳鼻喉科医生必须对此有所了解。本文详细描述了首例鼻窦血管病的手术治疗和术后监测建议。
