Law S, Burgess C
Department of Otorhinolaryngology, Musgrove Park Hospital, Taunton, UK.
Ann R Coll Surg Engl. 2021 Feb;103(2):e48-e49. doi: 10.1308/rcsann.2020.7027.
Angiofibroma of the head and neck is classically found in the nasopharynx of an adolescent male. We present a rare case where an angiofibroma was diagnosed in the anterior nasal septum of a 51-year-old woman, the eighth nasal septal angiofibroma reported in a female. This case highlights how an angiofibroma in an older woman has a less vascular behaviour than one in an adolescent male, even though radiological enhancement may suggest that the lesion is highly vascularised. Nasal septal angiofibromas can be managed by biopsy and removed by simple endoscopic resection with minimal haemorrhage. Although very rare, extranasopharyngeal angiofibroma/nasal septal angiofibroma should be included in the differential diagnosis when patients of all ages present with nasal obstruction secondary to a nasal mass, with or without epistaxis.
头颈部血管纤维瘤典型地见于青春期男性的鼻咽部。我们报告一例罕见病例，一名51岁女性的前鼻中隔被诊断为血管纤维瘤，这是第八例报告的女性鼻中隔血管纤维瘤。该病例凸显出，老年女性的血管纤维瘤相比青春期男性的血管纤维瘤，其血管生成行为较少，尽管放射学增强可能提示病变血管高度丰富。鼻中隔血管纤维瘤可通过活检进行处理，并通过简单的内镜切除，出血极少。尽管非常罕见，但当各年龄段患者因鼻肿物继发鼻塞，伴或不伴鼻出血时，鼻咽外血管纤维瘤/鼻中隔血管纤维瘤均应列入鉴别诊断。
