Su Kaiming, Zhang Weitian, Shi Haibo, Yin Shankai
Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, People's Republic of China.
Ear Nose Throat J. 2014 Sep;93(9):E29-33. doi: 10.1177/014556131409300907.
Sinonasal cavernous hemangioma is a rare condition that usually affects the lateral wall of the nasal cavity. We report the case of a 77-year-old man who presented with severe epistaxis, nasal congestion, and olfactory dysfunction. Endoscopic examination of the nasal cavity revealed the presence of a red-blue tumor that had almost completely filled the nasopharynx. Preoperatively, it was difficult to distinguish this lesion from a juvenile nasopharyngeal angiofibroma. During endoscopic surgery, the tumor was found to originate in the left olfactory cleft, and it had a long peduncle that contained blood vessels. Postoperative histopathologic examination indicated that the mass was a cavernous hemangioma. To the best of our knowledge, this is the first case of an olfactory cleft cavernous hemangioma and the first case of olfactory cleft disease associated with a cavernous hemangioma to be reported in the English-language literature.
鼻窦海绵状血管瘤是一种罕见疾病，通常累及鼻腔外侧壁。我们报告一例77岁男性患者，其表现为严重鼻出血、鼻塞和嗅觉功能障碍。鼻腔内镜检查发现一个红蓝色肿瘤，几乎完全充满鼻咽部。术前，很难将此病变与青少年鼻咽血管纤维瘤区分开来。在内镜手术中，发现肿瘤起源于左侧嗅裂，并有一个包含血管的长蒂。术后组织病理学检查表明该肿块为海绵状血管瘤。据我们所知，这是英文文献中首次报道的嗅裂海绵状血管瘤病例以及首例与海绵状血管瘤相关的嗅裂疾病病例。
