上唇巨大动静脉畸形——病例报告
Huge Arteriovenous Malformation of Upper Lip- A Case Report.
作者信息
Shobeirian Farzaneh, Sanei Taheri Morteza, Yeganeh Ruhollah, Haghighatkhah Hamidreza
机构信息
Department of Radiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Surgery, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Otorhinolaryngol. 2020 Jan;32(108):49-52. doi: 10.22038/ijorl.2019.36848.2207.
INTRODUCTION
Arteriovenous malformations (AVMs) are uncommon vascular lesions that can arise in any part of the body.
CASE REPORT
In this case study, we presented a huge AVM of the upper lip in a 70-year-old man that he noticed since 5years ago with slow growth in this period. Computed tomography angiography revealed a large AVM with feeders from the right facial artery and its branch superior labial artery. Right facial artery showed increased diameter and tortuous changes. Selective catheterization of right carotid was performed followed by super selective catheterization of the right facial artery. Then, the embolization of the tumor blush was conducted. Surgical removal of the tumor was carried out10days after the embolization.
CONCLUSION
The AVM treatment is challenging, and there is a high chance of recurrence and progression. Every case should have an individualized approach that needs an accurate diagnosis and a multidisciplinary team.
引言
动静脉畸形（AVM）是一种罕见的血管病变，可发生于身体的任何部位。
病例报告
在本病例研究中，我们呈现了一名70岁男性上唇巨大动静脉畸形，他自5年前就已注意到，在此期间生长缓慢。计算机断层血管造影显示一个大型动静脉畸形，供血来自右侧面动脉及其分支上唇动脉。右侧面动脉直径增大且有迂曲改变。对右侧颈动脉进行了选择性插管，随后对右侧面动脉进行了超选择性插管。然后，对肿瘤染色进行了栓塞。栓塞10天后进行了肿瘤切除术。
结论
动静脉畸形的治疗具有挑战性，复发和进展的可能性很高。每个病例都应有个性化的治疗方法，这需要准确的诊断和多学科团队。
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