透過您的圖書館登入
IP:3.135.202.224

摘要


血管球瘤是由血管旁細胞增生所形成的良性腫瘤,其病理結構類似血管球體且多發生於血管球體豐富的解剖區域,如指甲的甲床或是四肢末端,臨床上常見為甲床下的深紅色小腫塊且容易因壓迫或是低溫造成疼痛。它發生在頭頸部的機會較低,在鼻腔及鼻竇的血管球瘤更是極少見,目前在英文文獻中僅有22個病例被提出。本文病患為58歲男性,以左側鼻塞及間歇性鼻血表現,其腫瘤經鼻內視鏡手術做廣泛性切除,術後症狀解除且追蹤無復發情況。我們整理回顧有關此一罕見腫瘤的相關文獻作一簡介,並且強調血管球瘤在命名及顯微鏡檢下容易和副神經瘤混淆的情況。

並列摘要


Glomus tumor is a distinctive benign neoplasm that rarely occurs in the head and neck region, and even less commonly in the nasal cavity. As of 2005, there were only 22 reported cases of sinonasal glomus tumor in the English medical literature. We present here a case of a 58 year-old man presenting with nasal obstruction and intermittent epistaxis. The tumor and its associated symptoms were eliminated by intranasal endoscopic excision. There was no complication or recurrence found during postoperative follow-up. Here we clarify this ambiguous term by reviewing related literature and emphasize the importance of differentiating this tumor from paraganglioma.

延伸閱讀


  • 紀乃霖、李飛鵬、方嘉郎(1998)。鼻中膈之血管球瘤-病例報告中華民國耳鼻喉科醫學會雜誌33(5),519-523。https://doi.org/10.6286/1998.33.5.519
  • 許仁鴻、袁本治、胡璟、李台民(1994)。鼻腔血管外皮細胞瘤—病例報告中華民國耳鼻喉科醫學會雜誌29(6),553-559。https://doi.org/10.6286/1994.29.6.553
  • 黃麒福、侯友益、朱繡棟(1999)。鼻腔血管纖維瘤-病例報告中華民國耳鼻喉科醫學雜誌34(6),514-517。https://doi.org/10.6286/1999.34.6.514
  • Chiang, Y. C., Chen, M. Y., & Lee, F. P. (2008). 鼻部血管性平滑肌瘤. 台灣耳鼻喉頭頸外科雜誌, 43(6), 166-169. https://doi.org/10.6286/2008.43.6.166
  • 黎瓊柱、李佳茹、侯昭祥、葉怡秀、李元淳、潘憲棠、蔡青劭(2008)。鼻竇鼻腔血管外皮細胞瘤台灣耳鼻喉頭頸外科雜誌43(4),115-119。https://doi.org/10.6286/2008.43.4.115

國際替代計量