鼻腔血管外皮瘤1例

Hemangiopericytoma in nasal cavity:a case report

1病例报告 患者,女,46岁,左鼻塞、流脓涕10年,有时左鼻出血。初次就诊于2012年6月22日,体检：左侧鼻道后段见红色质软新生物,表面粗糙,触之易出血。鼻窦CT示：双侧上颌窦、左侧筛窦、蝶窦及左侧后鼻腔病灶,考虑炎症伴息肉形成,不除外肿瘤（图1）。左鼻内肿物活检病理检查示：左鼻腔血管瘤。当时因故未行手术。2013年3月6日患者因症状加重而入院,2013年3月8日在全身麻醉下行经鼻内镜双侧鼻窦开放术及左鼻腔新生物切除术。

Summary We report a case of a 46 year old female patient with nasal hemangiopericytoma. She complained of left nasal congestion, pus snot for 10 years, sometimes with left nasal bleeding. Physical examination： in the left nasal tract saw red soft neoplasm, roughness surface, easy bleeding when touched. Sinus CT shows： bilateral maxillary sinus, etbmoid sinus, sphenoid sinus and the left posterior nasal cavity lesions, considering inflammation with the formation of polyps, tumor not excluded. The left nasal cavity neoplasm biopsy shows： hemangioma of left nasal cavity. After admission in general anesthesia, we do transnasal endoscopic sinus openning operation and the left nasal cavity neqplasm resection. Postoperative pathological examination shows： the left nasal cavity hemangiopericytoma. Immunohist0chemical showed ： Vimentin（ ＋）, Smooth muscle actin（ ＋ ）, Desmin（ -- ）, endo- thelial cells CD31 （--）and CD34 （--）. No postoperative radiotherapy or chemotherapy, no tumor recurrence. After one year of follow-up,the contact was lost.