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小儿鼻内小叶状毛细血管瘤:一例报告并文献复习

Pediatric intranasal lobular capillary hemangioma: a case report and review of the literature.

作者信息

Alotaibi Jood K, Alotayf Osama Ali, Almahdi Mohammed Jihad, Halwani Mohammed

机构信息

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 32210, Eastern Province, Saudi Arabia.

College of Medicine, Jazan University, Jazan 82511, Jazan Province, Saudi Arabia.

出版信息

J Surg Case Rep. 2024 Apr 26;2024(4):rjae119. doi: 10.1093/jscr/rjae119. eCollection 2024 Apr.

Abstract

Lobular capillary hemangioma is a benign lesion commonly affecting the head and neck region. However, in children, it is commonly seen in the buccal mucosa, gingiva, and the tongue, but its presence in the nasal cavity is less frequent. The most common symptoms of nasal hemangiomas are epistaxis and nasal obstruction. However, we present a case of a thirteen-year-old male having intranasal lobular capillary hemangioma with a 2-day history of left-sided epistaxis. The diagnosis is confirmed by histological examination, and the treatment is done by endonasal endoscopic excision of the hemangioma with cauterization of the feeding vessel has performed to remove the lesion completely. Moreover, the diagnosis of lobular capillary hemangioma must always be kept in mind when discussing the differential diagnosis of a bleeding mass within the nasal cavity, even though it is a rare condition and surgical excision is still the preferred first-line treatment.

摘要

小叶性毛细血管瘤是一种常见的良性病变,常累及头颈部区域。然而,在儿童中,它常见于颊黏膜、牙龈和舌部,而在鼻腔中较少见。鼻腔血管瘤最常见的症状是鼻出血和鼻塞。然而,我们报告一例13岁男性患有鼻内小叶性毛细血管瘤,有2天左侧鼻出血病史。通过组织学检查确诊,治疗方法是经鼻内镜切除血管瘤并烧灼供血血管以完全切除病变。此外,在讨论鼻腔内出血性肿物的鉴别诊断时,即使小叶性毛细血管瘤是一种罕见疾病且手术切除仍是首选的一线治疗方法,也必须始终牢记其诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcc/11052552/2cbff53d68bc/rjae119f1.jpg

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