Pradhan Pradeep, Samal Swagatika, Preetam Chappity
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India, Pin-751019.
Department of Pathology and laboratory medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Iran J Otorhinolaryngol. 2020 Jan;32(108):53-56. doi: 10.22038/ijorl.2019.35143.2159.
Giant cavernous hemangioma involving the nose extending to the nasopharynx and oropharynx with complete obstruction of the airway is very unusual and is yet to be described in the literature. In the present case, we have described a giant cavernous hemangioma successfully managed with endoscopic excision.
A 38-year-old male patient presented with recurrent nasal bleeding for 24 months and progressive obstruction of the right nasal cavity for 8 months. Diagnostic nasal endoscopy showed a greyish mass filling the whole of the right nasal cavity and contrast-enhanced CT scan of the nose and paranasal sinus revealed a large heterogeneous contrast enhanced lesion in the nasal cavity. The endoscopic biopsy was suggestive of cavernous hemangioma. Endoscopic excision was done and the patient has been followed up for the past 12 months without any recurrence of the disease.
Cavernous hemangioma is an uncommon benign entity of the nose and paranasal sinus. Due to the nonspecific clinical and radiological pictures, it is often a challenge for the preoperative diagnosis. A high index of suspicion and complete understanding of the clinicopathological profile of the patient is vital as the major differential diagnosis is the sinonasal malignancy simulating with a similar clinical picture.
巨大海绵状血管瘤累及鼻腔并延伸至鼻咽部和口咽部，导致气道完全阻塞，这种情况非常罕见，目前文献中尚未见报道。在本病例中，我们描述了一例通过内镜切除成功治疗的巨大海绵状血管瘤。
一名38岁男性患者，反复鼻出血24个月，右鼻腔进行性阻塞8个月。诊断性鼻内镜检查显示一个灰白色肿物充满整个右鼻腔，鼻腔及鼻窦增强CT扫描显示鼻腔内有一个大的不均匀强化病变。内镜活检提示为海绵状血管瘤。进行了内镜切除，患者在过去12个月接受随访，疾病无任何复发。
海绵状血管瘤是鼻腔和鼻窦少见的良性病变。由于其临床和影像学表现不具特异性，术前诊断往往具有挑战性。高度怀疑指数以及对患者临床病理特征的全面了解至关重要，因为主要鉴别诊断是具有相似临床表现的鼻窦恶性肿瘤。
