Labouchère Ania, De Sandre Cécile, Broome Martin, Reinhard Antoine, Louvrier Aurélien
Department of Maxillofacial Surgery, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.
Department of Otorhinolaryngology-Head and Neck Surgery, Lausanne University Hospital, 1011 Lausanne, Switzerland.
Reports (MDPI). 2023 Feb 15;6(1):7. doi: 10.3390/reports6010007.
Glomangiopericytomas are a rare type of sinonasal tumors with high relapse rates. Endoscopic sinus surgery is the classical technique to remove such tumors. Here we report a case of sinonasal glomangiopericytoma with orbital extension, infrequently described in the literature. A 50 year-old woman was referred to our hospital because of a right paranasal painless swelling, which appeared 9 months ago and was slowly increasing in size since her first visit. A Magnetic Resonance Imaging (MRI) revealed a tumor (18 × 25 × 37 mm) centered on the right ethmoidal cells, with adjacent nasal bone erosion and a right orbital invasion. The tumor was removed with a combined surgical approach (endoscopic and trans-sinusal frontal approach) after pre-surgical embolization. Based on the results of the histopathological examination, the diagnosis of a glomangiopericytoma was confirmed. The patient was discharged after one week, and an uneventful long-term follow-up.
血管外皮细胞瘤是一种罕见的鼻窦肿瘤，复发率高。鼻内镜鼻窦手术是切除此类肿瘤的经典技术。在此，我们报告一例鼻窦血管外皮细胞瘤侵犯眼眶的病例，该病例在文献中鲜有描述。一名50岁女性因右侧鼻旁无痛性肿胀前来我院就诊，该肿胀于9个月前出现，自首次就诊以来大小逐渐增大。磁共振成像（MRI）显示一个肿瘤（18×25×37mm），以右侧筛窦为中心，伴有相邻鼻骨侵蚀和右侧眼眶侵犯。术前栓塞后，采用联合手术方法（鼻内镜和经鼻窦额部入路）切除肿瘤。根据组织病理学检查结果，确诊为血管外皮细胞瘤。患者术后一周出院，长期随访情况良好。
