颞下窝孤立性纤维瘤的挽救性术前栓塞：一例病例报告并文献复习
Salvage preoperative embolization of an infratemporal solitary fibrous tumor: A case report with review of the literature.
作者信息
Yammine Kabalane, Nasser Haydar A, Hadi Usama, Natout Mohamad Ali, Najjar Vicky, Tayar Claude
机构信息
Department of Diagnostic and interventional radiology, Clemenceau Medical Center Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Haddath Department of ENT Department of Pathology Department of Digestive and General Surgery, Clemenceau Medical Center, Beirut, Lebanon.
出版信息
Medicine (Baltimore). 2018 Mar;97(13):e0251. doi: 10.1097/MD.0000000000010251.
RATIONALE
Head and Neck Solitary fibrous tumors (SFT) are very rare. They could be misdiagnosed as hemangiopericytomas (HPC).
PATIENT CONCERNS
We report a 60 y o lady presenting with sinonasal mass, causing recurrent profuse bleeding.
DIAGNOSES
Hemangioperocytomas versus SFT were among the differentials, according to Radiological studies. Upon Biopsy, the diagnosis of SFT has been adopted.
INTERVENTIONS
Salvage pre-operative embolization resulted in bleeding control, bridging the patient to surgery.
OUTCOMES
Post-operative course was uneventful, and patient symptoms resolved.
LESSONS
This is the first case report of a sinonasal SFT, where pre-operative embolization has been employed as a salvage procedure. This treatment modality is promising, since it controls bleeding, bridges patient to surgery and decreases blood loss during the surgical procedure.
原理
头颈部孤立性纤维瘤（SFT）非常罕见。它们可能被误诊为血管外皮细胞瘤（HPC）。
患者情况
我们报告一名60岁女性，出现鼻窦肿物，导致反复大量出血。
诊断
根据放射学研究，鉴别诊断包括血管外皮细胞瘤与SFT。活检后，确诊为SFT。
干预措施
挽救性术前栓塞控制了出血，为患者接受手术创造了条件。
结果
术后过程顺利，患者症状消失。
经验教训
这是首例鼻窦SFT采用术前栓塞作为挽救性治疗的病例报告。这种治疗方式很有前景，因为它能控制出血，为患者接受手术创造条件并减少手术过程中的失血。
Zotero 插件