中鼻甲海綿狀血管瘤

Cavernous Hemangioma of the Middle Turbinate

詹博文(Po-Wen Chan) ； 李飛鵬(Fei-Peng Lee) ； 朱娟秀(Jan-Show Chu)

《台灣耳鼻喉頭頸外科雜誌》 43卷5期 (2008/10) Pp. 136-139

https://doi.org/10.6286/2008.43.5.136

摘要

血管瘤在頭頸部是常見的疾病，出現在鼻部和鼻竇的情況卻是罕見的。本院經歷一名60歲男性，主訴左側鼻孔流鼻血約1個星期。患者之前除高血壓外無特殊病史，並否認之前有鼻部外傷的情形。前鼻鏡檢查發現左側鼻腔有一暗紅色，息肉狀，碰觸出血傾向並壓迫到鼻中隔的腫塊。注射顯影劑的鼻竇電腦斷層顯示有被顯影劑增強的腫塊。患者在鼻內視鏡手術幫助下，發現血管瘤附著於中鼻甲下緣。遂在不破壞血管瘤本身的情況下，將下半部之中鼻甲剪斷，並切除所附著血管瘤，術中僅有少量的出血。術後病理報告爲海綿狀血管瘤。術後追蹤一年經內視鏡檢查並無復發。因中鼻甲海綿狀血管瘤相當罕見，在國內文獻中尚未有被報導過，特提出報告。

關鍵字

血管瘤 ； 中鼻甲

並列摘要

Although hemangioma is common in the head and neck, its occurrence in the nasal cavity is rare. The classic histological classification of hemangiomas consist of capillary, cavernous and mixed type. The capillary hemangioma usually arises from the nasal septum while the cavernous type is mostly seen in the lateral nasal wall. In this paper we report a rare case of middle nasal turbinate cavernous hemangioma successfully excised under video telescopic guidance.
A 60 year-old male presented with left side epistaxis for about 1 week. There is no history of nasal trauma. Anterior rhinoscopy revealed a red polypoid mass that bled easily when touched lightly impinging on the septum and upper nasal cavity. Sinus CT with contrast enhancement revealed a 2.6×1.5 cm well-defined, lobular enhancing mass at the left nasal cavity. Under video-endoscopic guidance the tumor was found to be originated from middle nasal turbinate. Therefore the tumor was removed precisely with partial middle turbinectomy and blood loss was minimal during operation. Pathological examination revealed typical cavernous hemangioma with thrombosis and blood clots within the vascular lumens. There was no evidence of recurrence for 1 year after operation.

並列關鍵字

cavernous hemangioma ； middle nasal turbinate