Lymphangiomatous Polyp in the Nasopharynx-Case Report

鼻咽部淋巴管瘜肉－病例報告

曾尹謙(Yi-Chien Tseng) ； 趙品植(Pin-Zhir Chao) ； 李飛鵬(Fei-Peng Lee) ； 王興萬(Hsing-Won Wang)

《台灣耳鼻喉頭頸外科雜誌》 55卷1期 (2020/03) Pp. 42-45

https://doi.org/10.6286/jtohns.202003_55(1).042

摘要

Lymphangioma is a rare congenital tumor of the lymphatic system that is thought to result from the failure of the lymphatic system to communicate with the venous system. They are most often seen in children and are frequently located in the head and neck region. Nasopharynx that involves an isolated lymphangioma is extremely rare, with very few cases having been reported. This paper presents a rare case of nasopharynx lymphangiomatous polyp. It is the first case report in English in Eastern Asia.

關鍵字

lymphangioma ； lymphangiomatous polyp

並列摘要

淋巴管瘜肉屬於一罕見疾病，大部分病灶分布於頭頸部。好發於喉部、腮腺、口腔舌部及顎扁桃腺等，而鼻腔及鼻咽部只有零星之個案，目前文獻上僅有少數為鼻咽部淋巴管性瘜肉瘤之案例報告。在組織學上，此為一種良性過誤瘤，診斷上皆由具備淋巴通道、纖維基質及類淋巴組織來認定。目前文獻上經切除後並無復發之案例。我們案例為1名47歲女性，因左側頸部第二區淋巴結腫至門診，經鼻咽內視鏡檢查，意外發現於左側鼻咽近耳咽管處有瘜肉樣腫塊，並安排手術予以切除。因鼻咽淋巴管瘜肉非常之罕見，且國內並無此案例報告，故分享此案例及處置方式也回溯歷年來的多篇相關文獻做討論。

並列關鍵字

lymphangioma ； lymphangiomatous polyp（淋巴管瘤 ； 淋巴管瘜肉）