Fanning N F, Kahn A, Corbally M T
Department of Paediatric Surgery, Our Lady's Hospital for Sick Children, Dublin, Ireland.
J Pediatr Surg. 1997 Aug;32(8):1252-4. doi: 10.1016/s0022-3468(97)90695-3.
A 7-week-old infant with a locally invasive, orbital, congenital hemangiopericytoma underwent emergency external carotid artery (ECA) ligation for exsanguinating hemorrhage from an intraoral biopsy site. ECA ligation was successful in controlling the life-threatening hemorrhage and in reducing tumor size and vascularity. The location and extensive nature of the tumor prevented primary excision. Preoperative adjuvant chemotherapy was unsuccessful in controlling tumor growth. After ECA ligation, with reduction in tumor bulk and blood supply, the tumor was radically excised. This technique has important implications in the management of patients with extensive hemangiopericytomas or sino-facial tumors previously regarded as unresectable and which present with life-threatening hemorrhage.
一名7周大的婴儿患有局部侵袭性眼眶先天性血管外皮细胞瘤，因口腔活检部位出血不止接受了紧急颈外动脉（ECA）结扎术。ECA结扎成功控制了危及生命的出血，并减小了肿瘤大小和血管密度。肿瘤的位置和广泛程度使其无法进行一期切除。术前辅助化疗未能控制肿瘤生长。ECA结扎后，随着肿瘤体积和血供减少，肿瘤被根治性切除。该技术对于治疗广泛的血管外皮细胞瘤或鼻窦面部肿瘤患者具有重要意义，这些肿瘤以前被认为无法切除且伴有危及生命的出血。
