Ghaloo Shayan Khalid, Dhanani Rahim, Pasha Hamdan Ahmed, Wasif Muhammad, Fatima Saira, Ikram Mubasher
Aga Khan University Hospital, Karachi.
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2020 Dec;70(12(B)):2469-2471. doi: 10.47391/JPMA.948.
The history of glomangiopericytoma began in 1924 when it was initially diagnosed by Stout and Murray. It is a rare tumour of the respiratory mucosa, with a prevalence of less than 0.5% among all sinonasal tumours. Literature shows female predominance among patients who develop glomangiopericytoma. So far, no accurate aetiology has been discovered, but there are certain risk factors, including trauma, use of corticosteroids and high blood pressure, which are believed to cause glomangiopericytoma. Patients usually present with a history of epistaxis or nasal blockage, though symptoms can get worse if the tumour is not resected timely and can lead to visual disturbance, chronic sinusitis and headache. It has reddish polypoidal appearance on examination. The best modality for the treatment of glomangiopericytoma is endoscopic surgical resection via trans-nasal approach. We present the case of a 70-year-old man, with nasal blockage and epistaxis who underwent endoscopic sinus surgery for this condition.
血管外皮细胞瘤的历史始于1924年，当时它最初由斯托特和默里诊断出来。它是一种罕见的呼吸道黏膜肿瘤，在所有鼻窦肿瘤中的患病率不到0.5%。文献显示，患血管外皮细胞瘤的患者中女性占多数。到目前为止，尚未发现确切的病因，但存在某些危险因素，包括创伤、使用皮质类固醇和高血压，据信这些因素会导致血管外皮细胞瘤。患者通常有鼻出血或鼻塞病史，不过如果肿瘤未及时切除，症状会加重，并可能导致视力障碍、慢性鼻窦炎和头痛。检查时它呈红色息肉样外观。治疗血管外皮细胞瘤的最佳方式是经鼻内镜手术切除。我们报告一例70岁男性患者，因鼻塞和鼻出血接受了内镜鼻窦手术治疗此病症。
