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鼻腔血管平滑肌瘤:鼻出血的一种罕见病因。

Nasal Angioleiomyoma: An Unusual Cause of Epistaxis.

作者信息

Varghese Lalee, Mathew Susana, Vijayakumar Kavitha

机构信息

Department of Otorhinolaryngology, Christian Medical College, Vellore, India.

Department of Pathology, Christian Medical College, Vellore, India.

出版信息

Oman Med J. 2015 Jul;30(4):303-5. doi: 10.5001/omj.2015.60.

Abstract

Angioleiomyomas are infrequent benign tumors originating from smooth muscle cells of arterial or venous walls. They are most commonly seen in the lower extremities with a prevalence of only 8.5% in the head and neck. We present the case of a 40-year-old male patient who presented to Christian Medical College, Vellore, India, with recurrent episodes of right-sided epistaxis. A computed tomography scan showed an enlarged right inferior turbinate filling the right nasal cavity. The mass was removed endoscopically and sent to pathology. A diagnosis of angioleiomyoma of the nasal cavity was made. This location that has only been described in a minority of cases in the literature. Our case report signifies the importance of maintaining a broad differential when dealing with patients presenting with nasal mass and the importance of histopathological examination for the diagnosis.

摘要

血管平滑肌瘤是一种罕见的良性肿瘤,起源于动脉或静脉壁的平滑肌细胞。它们最常见于下肢,在头颈部的患病率仅为8.5%。我们报告一例40岁男性患者,该患者因右侧鼻出血反复发作就诊于印度韦洛尔基督教医学院。计算机断层扫描显示右下鼻甲肿大,充满右侧鼻腔。通过内镜切除肿物并送去做病理检查。诊断为鼻腔血管平滑肌瘤。该部位在文献中仅有少数病例报道。我们的病例报告表明,在处理鼻腔肿物患者时保持广泛鉴别诊断的重要性以及组织病理学检查对诊断的重要性。

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本文引用的文献

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Angioleiomyoma of the auricle.耳廓血管平滑肌瘤
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Contemp Clin Dent. 2011 Apr;2(2):102-5. doi: 10.4103/0976-237X.83071.
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Vascular leiomyoma of the head and neck.头颈部血管平滑肌瘤
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Angioleiomyoma. A clinicopathologic reappraisal of 562 cases.血管平滑肌瘤。562例病例的临床病理重新评估。
Cancer. 1984 Jul 1;54(1):126-30. doi: 10.1002/1097-0142(19840701)54:1<126::aid-cncr2820540125>3.0.co;2-f.

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