小兒鼻腔內之小葉狀毛細血管瘤－病例報告

Pediatric Lobular Capillary Hemangioma in Nasal Cavity - Case Report

陳錦國(Chin-Kuo Chen) ； 李明儒(Ming-Ju Lee) ； 陳世英(Shih-Ying Chen)

《中華民國耳鼻喉科醫學雜誌》 37卷3期 (2002/03) Pp. 239-242

https://doi.org/10.6286/2002.37.3.239

摘要

小葉狀毛細血管瘤常發生於表皮和口腔粘膜，於鼻腔少見。回顧文獻記載，大部份的鼻腔內小葉狀毛細血管瘤病例年齡分布在成人，罕見於小孩子。本科於2000年7月間經歷1名9歲女童患者，主訴左側反覆流鼻血，偶有鼻塞現象已1 年多。前鼻鏡發現左側總鼻道有一大的息肉樣腫塊，經全身麻醉，以鼻竇內視鏡引導切除，病理報告為小葉狀毛細血管瘤。門診追蹤至今恢復良好，無復發跡象。此病例報告雖然罕見，對於小孩子的鼻腔內腫塊，仍應將小葉狀毛細血管瘤列入鑑別診斷。

關鍵字

小葉狀毛細血管瘤 ； 內視鏡手術

並列摘要

Lobular capillary hemangioma usually affects the skin and oral mucosa, and rare the nose. It is a benign rapidly growing hemorrhagic lesion of unknown origin. According to the English literature, there are only three cases lobular capillary hemangioma of the nasal cavity in children. We present a 9-year-old child with intranasal lobular capillary hemangioma who suffered from epistaxis and nasal obstruction for several months. Treat-ment of the lesion was by endoscopic surgical excision; so far, no local recurrence has been noted. Though the uncommon lesion, the lobular capillary hemangioma must be considered in the differential diagnosis of intranasal mass in children.

並列關鍵字

lobular capillary hemangioma ； endoscopic surgery