Kabagenyi Fiona, Anena Sandra Petti, Seguya Amina
Department of Ear Nose and Throat, Makerere University, Kampala, Uganda.
Department of Ear Nose and Throat, Mulago National Referral Hospital, Kampala, Uganda.
Int Med Case Rep J. 2023 May 15;16:287-291. doi: 10.2147/IMCRJ.S406901. eCollection 2023.
Head and neck vascular tumors are common in children. Capillary hemangiomas are often easily confused with pyogenic granulomas due to histopathological resemblance. Furthermore, predisposing factors to pyogenic granulomas include an existing hemangioma, which may be co-existing entities. Surgical excision of large unsightly tumors causing functional deficits is a feasible management option. We report a case of a rapidly growing oral lesion in a toddler with feeding difficulties and anemia. It triggered a diagnostic dilemma as it was clinically consistent with a pyogenic granuloma but histologically diagnosed as a capillary hemangioma. It was successfully excised with no recurrence after 6 months.
头颈部血管肿瘤在儿童中很常见。由于组织病理学相似，毛细血管瘤常易与化脓性肉芽肿混淆。此外，化脓性肉芽肿的诱发因素包括现有的血管瘤，二者可能并存。对导致功能缺陷的大型难看肿瘤进行手术切除是一种可行的治疗选择。我们报告一例幼儿口腔病变迅速生长，伴有喂养困难和贫血的病例。由于该病变临床症状与化脓性肉芽肿相符，但组织学诊断为毛细血管瘤，引发了诊断难题。该病变成功切除，6个月后无复发。
