el-Sayed Y, al-Serhani A
Department of Otorhinolaryngology, King Abdel-Aziz University Hospital, Riyadh, Saudi Arabia.
J Laryngol Otol. 1997 Oct;111(10):941-5. doi: 10.1017/s0022215100139027.
To present a number of cases with lobular capillary haemangioma (pyogenic granuloma) of the nose; and to discuss the clinical and histopathological diagnosis of this disorder.
A clinicopathological study of patients diagnosed with nasal lobular capillary haemangioma who were treated at King Abdel Aziz University Hospital, Riyadh from 1986 to 1995.
The study group consisted of 12 patients (four males and eight females ranging in age from 17 to 65 years; mean 30.1 years). Clinically, most patients presented with epistaxis and a rapidly growing unilateral haemorrhagic mass. Most lesions were located on the septal mucosa. The clinical impression was misleading in some cases. The histological diagnosis was based on the lobular arrangement of capillaries. One case was initially misdiagnosed as angiofibroma. Excisional biopsy was the mainstay of treatment. One instance of recurrence was recorded.
This uncommon lesion should be considered in the differential diagnosis of a rapidly growing haemorrhagic lesion within the nasal fossa. Clinical and histological diagnostic pitfalls occur frequently.
介绍一些鼻部小叶性毛细血管瘤（化脓性肉芽肿）病例；并探讨该疾病的临床及组织病理学诊断。
对1986年至1995年在利雅得阿卜杜勒阿齐兹国王大学医院接受治疗的诊断为鼻小叶性毛细血管瘤的患者进行临床病理研究。
研究组由12例患者组成（4例男性，8例女性，年龄在17至65岁之间；平均30.1岁）。临床上，大多数患者表现为鼻出血和迅速生长的单侧出血性肿物。大多数病变位于鼻中隔黏膜。在某些病例中，临床印象具有误导性。组织学诊断基于毛细血管的小叶状排列。1例最初被误诊为血管纤维瘤。切除活检是主要的治疗方法。记录到1例复发情况。
在鼻腔内迅速生长的出血性病变的鉴别诊断中应考虑这种不常见的病变。临床和组织学诊断陷阱经常出现。
