Akiner M N, Akturk M T, Demirtas M, Atmis E O
Department of Otolaryngology-Head & Neck Surgery, School of Medicine, Ankara University, 06100 Ankara, Turkey.
Case Rep Otolaryngol. 2011;2011:431365. doi: 10.1155/2011/431365. Epub 2011 Sep 13.
Objectives. To investigate hemangiomas in the differential diagnosis of the nasal cavity neoplasms, even though it is an extremely rare mesenchymal tumor of the nasal cavity, and the world literature was reviewed. Case Report. A 57-year-old woman applied to our department with a 5-year history of left-sided nasal obstruction without history of epistaxis, nasal packaging, or facial trauma. Anterior rhinoscopic examination revealed a mass originating from inferior turbinate that completely obstructs the left nasal cavity. Paranasal computed tomography (CT) showed that the bony mass originated from the anterior part of the left inferior turbinate. Surrounding tissues were normal, and there was not any erosion or destruction. Mass was excised by the endoscopic approach. Histological diagnosis was reported as osseous cavernous hemangioma. Conclusion. Hemangiomas are a rare cause of intranasal masses. Its unusual site and masked presentation makes the differential diagnosis difficult. When a bony hard, well-shaped mass was seen in the nasal cavity, the possibility of intraosseous hemangioma must be remembered.
目的。尽管鼻腔骨化性海绵状血管瘤是一种极其罕见的鼻腔间叶性肿瘤，但为了在鼻腔肿瘤的鉴别诊断中对其进行研究，我们查阅了世界文献。病例报告。一名57岁女性因左侧鼻塞5年前来我院就诊，无鼻出血、鼻腔填塞或面部外伤史。前鼻镜检查发现一个起源于下鼻甲的肿物，完全阻塞了左侧鼻腔。鼻窦计算机断层扫描（CT）显示骨肿物起源于左侧下鼻甲前部。周围组织正常，无任何侵蚀或破坏。通过内镜手术切除肿物。组织学诊断为骨化性海绵状血管瘤。结论。血管瘤是鼻内肿物的罕见病因。其不寻常的部位和隐匿的表现使得鉴别诊断困难。当在鼻腔内看到质地坚硬、形态规整的肿物时，必须考虑骨内血管瘤的可能性。
