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成人喉骨化性血管瘤:鉴别诊断中的难点

Adult Laryngeal Ossified Hemangioma: Difficulties in Differential Diagnosis.

作者信息

Aluffi Valletti Paolo, Toso Andrea, Gorris Christel, Dell'Era Valeria, Golinelli Gloria, Pia Francesco

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, University of Piemonte Orientale "Amedeo Avogadro," Novara, Italy.

出版信息

J Craniofac Surg. 2018 Nov;29(8):e730-e732. doi: 10.1097/SCS.0000000000004626.

Abstract

Adult laryngeal hemangiomas are uncommon and often poorly symptomatic. The authors describe a laryngeal hemangioma with acute airway obstruction and radiologic findings suggesting a chondrosarcoma-like neoplasm, while pathologic features were consistent with an ossified hemangioma. The presence of fields of bone metaplasia into a classical cavernous hemangioma is an unusual phenomenon which, to our knowledge, was never previously described in the larynx. Difficulties concerning the differential diagnosis and modality of treatment are also discussed.

摘要

成人喉血管瘤并不常见,且通常症状不明显。作者描述了一例伴有急性气道梗阻的喉血管瘤,其影像学表现提示为软骨肉瘤样肿瘤,而病理特征与骨化性血管瘤相符。骨化生区域转变为典型的海绵状血管瘤这一现象并不常见,据我们所知,此前从未在喉部有过相关描述。文中还讨论了鉴别诊断和治疗方式方面的难点。

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