以內視鏡手術切除晚期鼻咽部血管纖維瘤：個例報告

鼻咽部血管纖維瘤大約佔所有頭頸部腫瘤的0.05%至0.5%，其雖為良性但具有局部侵犯的特性且好發於年輕男性，治療的原則以手術切除為主。自1996年開始，相繼有學者以鼻內視鏡手術來治療早期鼻咽部血管纖維瘤，預後良好。對晚期的病例則仍無法突破。本科有一名12歲男孩，是屬於Chandler分類之第三期鼻咽部血管纖維瘤。術前安排核磁共振及動脈血管攝影並且同時將供應腫瘤的血管栓塞後，施行內視鏡手術，成功地將血管纖維瘤切除，術後追蹤至今25個月並無復發之現象。因此，對於晚期之鼻咽部血管纖維瘤，經鼻內視鏡手術亦是一種可嘗試的方法。

關鍵字

內視鏡；血管纖維瘤；鼻咽腫瘤

並列摘要

Nasopharyngeal angiofibroma, a benign but aggressively local invasion that occurs in adolescent males, accounts for approximately 0.05% to 0.5% of head and neck tumors. Surgery is the most effective method of treatment for nasopharyngeal angiofibroma. Since 1996, a high success rate has been reported for the endoscopic treatment of early nasopharyngeal angiofibroma, but less success has been achieved in the endoscopic surgical management of advanced nasopharyngeal angiofibroma. We report a case of a 12-year-old boy with stage III (Chandler's classification) nasopharyngeal angiofibroma. MRT and angiography with embolization were performed before the operation, and the tumor was removed endoscopically. No recurrence was noted during a 25 month follow-up period. The results of this case suggest that endoscopic treatment is an effective method for the management of advanced angiofibroma.

並列關鍵字

endoscope ； angiofibroma ； nasopharyngeal tumor

國際替代計量

以內視鏡手術切除晚期鼻咽部血管纖維瘤：個例報告

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