上颌窦海绵状血管瘤伪装成复发性出血性肿物：组织学与放射学相关性及文献综述
Cavernous Hemangioma of the Maxillary Sinus Masquerading Recurrent Hemorrhagic Mass: Histological-Radiological Correlation and a Literature Review.
作者信息
Kim Sungbin, Baek Hye Jin, Ryu Kyeong Hwa, An Hyo Jung, Joo Yeon-Hee
机构信息
Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea.
Department of Radiology, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Republic of Korea.
出版信息
Curr Med Imaging. 2022;18(10):1120-1124. doi: 10.2174/1573405618666220218104156.
BACKGROUND
Sinonasal cavernous hemangioma is rare. To date, fewer than 20 cases have been reported in the literature; however, they may be a source of recurrent epistaxis and masquerade of a hemorrhagic mass on CT and MRI.
CASE REPORT
A 68-year-old woman was presented with recurrent epistaxis and progressive right malar fullness. On rhinoscopy, a bulge lesion was observed with multifocal hemorrhagic and friable surfaces in the right nasal cavity. CT and MRI demonstrated a well-defined mass in the right maxillary sinus with inhomogenous T2 hyperintensity, hypointense septa, peripheral rim, and multiple papillary enhancement, suggesting a recurrent hemorrhagic mass. The mass was excised endoscopically, and the histologic diagnosis was cavernous hemangioma.
CONCLUSION
Imaging studies, such as CT and MRI, are essential in making an accurate diagnosis of cavernous hemangioma of the maxillary sinus. Endoscopic excision of the lesion can be curative.
背景
鼻窦海绵状血管瘤较为罕见。迄今为止，文献报道的病例不足20例；然而，它们可能是反复鼻出血的原因，并且在CT和MRI上表现为出血性肿块。
病例报告
一名68岁女性，反复鼻出血，右颊部进行性饱满。鼻内镜检查发现右侧鼻腔有一个隆起性病变，表面多灶性出血且质地脆。CT和MRI显示右侧上颌窦有一个边界清晰的肿块，T2加权像呈不均匀高信号，有低信号分隔、周边边缘，且有多个乳头状强化，提示为反复出血性肿块。该肿块经内镜切除，组织学诊断为海绵状血管瘤。
结论
CT和MRI等影像学检查对于准确诊断上颌窦海绵状血管瘤至关重要。内镜下切除病变可治愈该病。
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