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青少年鼻咽血管纤维瘤:一名青少年男性诊断与手术挑战的病例研究

Juvenile Nasopharyngeal Angiofibroma: A Case Study on the Diagnostic and Surgical Challenges in an Adolescent Male.

作者信息

Grezenko Han, Sobhan Armaan M, Waqas Muhammad, Papuashvili Papuna, Patel Vaishvik K, Khan Rehman

机构信息

Medicine and Surgery, Guangxi Medical University, Nanning, CHN.

Translational Neuroscience, Barrow Neurological Institute, Phoenix, USA.

出版信息

Cureus. 2024 Jun 4;16(6):e61667. doi: 10.7759/cureus.61667. eCollection 2024 Jun.

Abstract

A rare and locally aggressive vascular tumor, juvenile nasopharyngeal angiofibroma (JNA) mostly affects male teenagers. This paper describes a 14-year-old male patient who presented with lethargy and recurrent nasal bleeding, which are symptoms of JNA. CT and MRI scans confirmed a vascular mass with a significant local invasion originating from the sphenopalatine foramen. After a CT angiography, which revealed the tumor's large blood supply and helped with efficient excision, a focused surgical strategy was designed. Histopathology verified the benign nature of the tumor, and the operation was successful and the patient had a smooth recovery. This case adds to the little literature on JNA. It highlights the need for healthcare professionals to be aware of the requirement of early identification and careful presurgical preparation in managing the illness.

摘要

青少年鼻咽血管纤维瘤(JNA)是一种罕见的、具有局部侵袭性的血管肿瘤,主要影响青少年男性。本文描述了一名14岁男性患者,他出现了嗜睡和反复鼻出血的症状,这些都是JNA的症状。CT和MRI扫描证实了一个起源于蝶腭孔的具有明显局部侵袭的血管性肿块。CT血管造影显示肿瘤血供丰富,有助于有效切除,据此设计了针对性的手术策略。组织病理学证实肿瘤为良性,手术成功,患者恢复顺利。该病例补充了关于JNA的少量文献。它强调了医疗保健专业人员在管理该疾病时需要意识到早期识别和仔细的术前准备的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f9/11223743/d0b0eea99aa4/cureus-0016-00000061667-i01.jpg

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