Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Department of Otolaryngology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Arch Argent Pediatr. 2021 Feb;119(1):e36-e40. doi: 10.5546/aap.2021.eng.e36.
Spindle cell hemangioma (SCH) is a benign unusual vascular neoplasm. It does not have gender predilection and can occur at all ages. The disease affects dermis and subcutis of distal extremities predominantly; head and neck involvement is very rare, paranasal sinus involvement has not been reported before. Herein we present a 4-month-old infant with nasal obstruction since two weeks of age due to a mass in ethmoid sinus obliterating the nasal passage. After the histopathological diagnosis of SCH, the tumor was partially resected. In the sixth month follow-up, there was minimal regression of residual lesions. In the imaging studies performed 30 months after the surgery, the residual mass was found to be disappeared. SCH is not frequent in the head and neck, and presentation of some patients may not suggest the diagnosis. Histopathology is important for differential diagnosis and to orientate treatment. Awareness of SCH may increase the reported cases.
梭形细胞血管瘤（SCH）是一种良性的非典型血管肿瘤。它无性别偏好，可发生于所有年龄段。该疾病主要影响远端四肢的真皮和皮下组织；头部和颈部受累非常罕见，以前没有报道过鼻窦旁窦受累。在此，我们介绍了一名 4 个月大的婴儿，他因额窦内肿块阻塞鼻道而导致鼻塞，自两周大以来一直存在。在组织病理学诊断为 SCH 后，肿瘤被部分切除。在第六个月的随访中，残留病变有轻微消退。在手术后 30 个月进行的影像学研究中，发现残留肿块消失。SCH 在头颈部并不常见，一些患者的表现可能无法提示诊断。组织病理学对于鉴别诊断和指导治疗很重要。对 SCH 的认识可能会增加报告的病例数量。
