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血管外皮细胞瘤：一例耶和华见证会患者鼻腔鼻窦巨大肿瘤的诊治及围手术期处理-病例报告。

Hemangiopericytoma: Conducts and perioperative management of an extent sinonasal tumor in a Jehovah's Witnesses patient - Case report.

机构信息

Head and Neck Surgery and Otorhinolaryngology Service, Instituto da Tireoide e Laringe, Goiânia, Brazil.

Department of Otorhinolaryngology and Head and Neck Surgery, Hospital das Clínicas de Goiânia (HC-UFG), Goiânia, Brazil.

出版信息

Cancer Rep (Hoboken). 2022 Sep;5(9):e1609. doi: 10.1002/cnr2.1609. Epub 2022 Feb 23.

DOI:10.1002/cnr2.1609
PMID:35194976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9458489/
Abstract

BACKGROUND

Hemangiopericytomas (HPCs) are rare tumors derived from mesenchymal cells with pericyte differentiation. About 5% of head and neck HPCs occur in the nasal cavity and paranasal sinuses. Due to its rarity, rich vascularity and variable biological behavior, its management is a challenge in itself.

CASE

We report a case of sinonasal HPC in a Jehovah's Witness patient and discuss the obstacles and care related to the restrictions and therapeutic challenges involved in the approach to the patient. The patient was successfully treated by endoscopic endonasal approach with all per-operative care and restrictions being respected and attended.

CONCLUSIONS

The management of HPC by itself involves challenges and when associated with other restrictive conditions attention and care are required.

摘要

背景

血管外皮细胞瘤（HPC）是一种罕见的起源于具有周细胞分化的间充质细胞的肿瘤。约有 5%的头颈部 HPC 发生在鼻腔和鼻窦。由于其罕见性、丰富的血管生成和不同的生物学行为，其治疗本身就是一个挑战。

病例

我们报告了一例耶和华见证会患者的鼻腔鼻窦 HPC，并讨论了与患者治疗相关的限制和治疗挑战相关的障碍和护理。该患者通过内镜经鼻入路成功治疗，所有围手术期护理和限制均得到尊重和处理。

结论

HPC 的治疗本身就存在挑战，当与其他限制条件相关时，需要注意和护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/5c3a72495aed/CNR2-5-e1609-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/d77ce85fe02c/CNR2-5-e1609-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/1273aa9340d0/CNR2-5-e1609-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/1f5bd4508711/CNR2-5-e1609-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/5c3a72495aed/CNR2-5-e1609-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/d77ce85fe02c/CNR2-5-e1609-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/1273aa9340d0/CNR2-5-e1609-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/1f5bd4508711/CNR2-5-e1609-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/9458489/5c3a72495aed/CNR2-5-e1609-g001.jpg

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Sinonasal hemangiopericytoma caused hypophosphatemic osteomalacia: A case report.鼻窦血管外皮细胞瘤导致低磷性骨软化症：一例报告。
Medicine (Baltimore). 2018 Dec;97(52):e13849. doi: 10.1097/MD.0000000000013849.
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Nasal hemangiopericytoma successfully treated with a combination of rIL-2 and extranasal approaches.
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J Surg Case Rep. 2017 Oct 20;2017(10):rjx202. doi: 10.1093/jscr/rjx202. eCollection 2017 Oct.
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Head Neck. 2015 Nov;37(11):1685-90. doi: 10.1002/hed.23812. Epub 2015 Apr 6.
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