Hu Honghai, Shi Qifeng, Chen Jidong
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 May;29(9):853-4.
We report a case of a 46 year old female patient with nasal hemangiopericytoma. She complained of left nasal congestion, pus snot for 10 years, sometimes with left nasal bleeding. Physical examination: in the left nasal tract saw red soft neoplasm, roughness surface, easy bleeding when touched. Sinus CT shows: bilateral maxillary sinus, ethmoid sinus, sphenoid sinus and the left posterior nasal cavity lesions, considering inflammation with the formation of polyps, tumor not excluded. The left nasal cavity neoplasm biopsy shows: hemangioma of left nasal cavity. After admission in general anesthesia, we do transnasal endoscopic sinus openning operation and the left nasal cavity neoplasm resection. Postoperative pathological examination shows: the left nasal cavity hemangiopericytoma. Immunohistochemical showed: Vimentin(+), Smooth muscle actin(+), Desmin(-), endothelial cells CD31(-) and CD34(-). No postoperative radiotherapy or chemotherapy, no tumor recurrence. After one year of follow-up, the contact was lost.
我们报告一例46岁女性鼻血管外皮细胞瘤患者。她主诉左侧鼻塞、流脓涕10年，有时伴有左侧鼻出血。体格检查：在左侧鼻道可见红色柔软肿物，表面粗糙，触之易出血。鼻窦CT显示：双侧上颌窦、筛窦、蝶窦及左侧后鼻腔病变，考虑炎症伴息肉形成，不排除肿瘤。左侧鼻腔肿物活检显示：左侧鼻腔血管瘤。全身麻醉下入院后，我们进行了经鼻内镜鼻窦开放手术及左侧鼻腔肿物切除术。术后病理检查显示：左侧鼻腔血管外皮细胞瘤。免疫组化显示：波形蛋白（+），平滑肌肌动蛋白（+），结蛋白（-），内皮细胞CD31（-）及CD34（-）。术后未行放疗或化疗，无肿瘤复发。随访1年后，失去联系。
