- 期刊
Giant Nasal Pyogenic Granuloma Gravidarum-A Case Report and Brief Review
妊娠期巨大鼻化膿性肉芽腫－病例報告及簡要回顧
摘要
Nasal pyogenic granuloma (PG) gravidarum was described as pregnancy tumor. PG is a common acquired benign vascular tumor arising in tissue, mostly in the skin and mucosal membrane. Rare cases may occur in the nasal cavity during pregnancy, also termed "pyogenic granuloma gravidarum" or "pregnancy tumor". We report a 30-year-old female, gravida 1 para 0, who had no history of nasal trauma but had symptoms of allergic rhinitis. She suffered from intermittent right epistaxis since 17 weeks of pregnancy. A nasal mass protruding from the right nostril was also noted, and she visited our clinic. We performed endoscopic nasal surgery to remove the tumor under general anesthesia. A large dark red lesion was noted arising from the anterior superior septum. Microscopically, it appeared as a lobular capillary hemangioma with hemorrhagic change. A healthy baby was delivered at 38 weeks. There was no recurrence 3 months after delivery during the follow-up period. We performed a brief review of 24 cases of PG in pregnancy and discussed the management and outcome of nasal pyogenic granuloma gravidarum.
並列摘要
妊娠期鼻化膿性肉芽腫（Nasal pyogenic granuloma）又稱為妊娠瘤。化膿性肉芽腫（PG）是一種常見的後天性良性血管腫瘤，發生於組織中，多發於皮膚和黏膜。此類腫瘤於懷孕期間發生於鼻腔實屬罕見，也稱為「妊娠性肉芽腫」或「妊娠瘤」。我們報告1名30歲女性，第一胎，無鼻外傷史，但有過敏性鼻炎症狀。她從懷孕17週起就出現間歇性右鼻出血。同時也注意到右鼻孔突出鼻腫塊。隨即在全身麻醉下進行了鼻內視鏡手術以切除腫瘤。術中發現鼻中隔前上長出現一個大的暗紅色病變。顯微鏡下呈現小葉狀毛細血管瘤伴隨出血性病變。妊娠38週時產下1名健康嬰兒。產後3個月追蹤期間未見復發。我們對收集24例妊娠期PG病例進行了簡要回顧，並討論了妊娠期鼻化膿性肉芽腫的治療和預後。