Jung Won Sang, Yoo Chang Young, Park Yong-Jin, Ihn Yon Kwon
Department of Radiology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
Department of Pathology, St Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
Iran J Radiol. 2015 Apr 22;12(2):e6923. doi: 10.5812/iranjradiol.6923. eCollection 2015 Apr.
Hemangiomas of the sinonasal tract are rare, and because these lesions lack the typical signs or symptoms, they can be confused with other malignant conditions. We report a case of cavernous hemangioma of the maxillary sinus in a 68-year-old man that was completely resected by endoscopic sinus surgery. Although computed tomography (CT) and magnetic resonance imaging (MRI) showed several enhancing areas within the tumor, the substantial bone erosion and remodeling made it difficult to differentiate this cavernous hemangioma from other expansile maxillary sinus lesions. We present the CT and MR findings of this lesion and discuss the differential diagnoses and potential therapeutic approaches.
鼻窦血管瘤较为罕见，由于这些病变缺乏典型的体征或症状，它们可能会与其他恶性疾病相混淆。我们报告一例68岁男性上颌窦海绵状血管瘤病例，该病例通过鼻内镜鼻窦手术得以完全切除。尽管计算机断层扫描（CT）和磁共振成像（MRI）显示肿瘤内有多个强化区域，但大量的骨质侵蚀和重塑使得难以将这种海绵状血管瘤与其他上颌窦膨胀性病变区分开来。我们展示了该病变的CT和MR表现，并讨论了鉴别诊断和潜在的治疗方法。
