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[妊娠期鼻内肿物变形]

[Deforming endonasal mass during pregnancy].

作者信息

Maas A P, Eckrich J, Send T, Bernhardt M, Strieth S, Ernst B P

机构信息

Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

Institut für Pathologie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

出版信息

HNO. 2023 May;71(5):323-327. doi: 10.1007/s00106-023-01290-1. Epub 2023 Mar 22.

Abstract

This article presents the case of a 33-year-old woman who consulted the authors' ENT clinic in the 39th week of pregnancy with recurrent epistaxis. A livid endonasal mass was found on the left side, subtotally displacing the nose and leading to deformation of the external nose. External biopsy provided no indications of malignancy. Postpartum CT of the paranasal sinuses revealed a mass destroying the cartilaginous nasal septum. Endoscopic resection of the finding was performed with preservation of the clinically sound nasal septal cartilage. Histopathological examination revealed a capillary hemangioma, which was classified as granuloma gravidarum due to its occurrence during pregnancy.

摘要

本文介绍了一名33岁女性的病例,该女性在怀孕第39周因反复鼻出血到作者所在的耳鼻喉科诊所就诊。在内鼻左侧发现一个青紫色肿物,该肿物几乎完全占据鼻腔并导致外鼻变形。外部活检未发现恶性迹象。产后鼻窦CT显示一个肿物破坏了鼻中隔软骨。在内镜下对该肿物进行了切除,保留了临床上健康的鼻中隔软骨。组织病理学检查显示为毛细血管瘤,因其发生在孕期,故归类为妊娠肉芽肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b71d/10126015/af8d5b0c1196/106_2023_1290_Fig1_HTML.jpg

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