鼻腔、鼻窦巨大血管肉瘤1例  

A case of nasal big angiosarcoma

作　　者：王丽芬[1] 黄志纯[1] 沈剑沧[2] 

机构地区：[1]东南大学附属中大医院耳鼻咽喉头颈外科,南京2100092 [2]南京大学人工微结构科学与技术协同创新中心

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第23期1902-1904,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告 患者，女，56岁，因“左眼视物模糊9d。加重1d”于2013年8月21日入住我院眼科。眼科行颅脑＋眼睛＋颈椎MR显示：左侧筛窦占位性病变，性质待定，伴局部左眼眼眶部分结构受累可能，合并左侧诸副鼻窦及右侧筛窦炎症（图1），请我科会诊后转入我科进一步治疗。体检：外鼻无畸形，左侧鼻腔可见新生物，表面欠光滑，鼻道内无出血，右侧鼻腔未见明显新生物，鼻窦区无明显压痛。Summary Angiosarcoma also called malignant hemangioendothelioma, caused by vascular endothelial cells or in the direction of vascular endothelial cell differertiation of mesenchymal malignant tumor, is a rare tumor found in clinical, can be in any place of the body, such as head and neck, skin and tissue, breast, bone, liver and other organs and so on, also in the nose, and sinuses rich blood vessels. But this tumor has a low incidence in the nose. Because the nose and sinuses location is hidden, the patient often with nasal bleeding, stuffy nose, headache and so on. With the increase of tumor involvement, the patient can appears the symptoms of corresponding adiacent tissue. Therefore this tumor is difficult to be early detected timely. Early complete surgical excision and supple- mented by radiotherapy are preferred methods as the treatments of the nasal and sinuses angiosarcoma without dis- tant metastase.

关 键 词：巨大血管肉瘤 副鼻窦 鼻腔 筛窦占位性病变 病例报告 视物模糊 新生物 眼眶部 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]