鼻腔血管纖維瘤－病例報告

Angiofibroma in the Nasal Cavity - Case Report

黃麒福(Chi-Fu Huang) ； 侯友益(Yu-Yi Hou) ； 朱繡棟(Sau-Tong Chu)

《中華民國耳鼻喉科醫學雜誌》 34卷6期 (1999/11) Pp. 514-517

https://doi.org/10.6286/1999.34.6.514

摘要

血管纖維瘤為一好發於年輕男性，組織學良性、臨床上表現卻如惡性之腫瘤。一般由鼻咽部長出，向鼻腔、鼻竇及顱底蔓延。而原發於鼻咽外的血管纖維瘤尤其少見。在此提出一原發於鼻腔下鼻甲之血管纖維瘤的例子。患者為22歲男性，因反覆性大量鼻出血及鼻塞就診。鼻竇內視鏡下為表面平滑之左側巨大下鼻甲。磁振造影則顯示高度顯影之腫瘤。術前經血管攝影檢查及血管栓塞，經側鼻切開術切除。術後情況良好。(中耳醫誌 1999;34:514-517)

關鍵字

血管纖維瘤 ； 下鼻甲 ； 鼻咽外血管纖維瘤

並列摘要

Angiofibroma usually occurs in young males. Although it is a benign tumor histologically, it behaves like a malignancy clinically because of its locally destructive nature. In general, angiofibroma occurs in the nasopharynx and may extend toward the nasal cavity, paranasal sinus, and skull base. Aprimary extranasopharyngeal angiofibroma is area, A22-year-old man sought medical advice due to repeated nasal hemorrhage and stuffy nose. Endoscopic examination showed a huge, smooth surfaced inferior turbinate in the left nasal cavity. MRI revelaed a heterogenous-hyperintense tumor. Angiography with embolization was performed one day prior to surgical en bloc excision of the tumor via a later rhinotomy. The postoperative course was uneventful.

並列關鍵字

angiofibroma ； inferior turbinate ； extranasopharyngeal angiofibroma