在成年时出现的"青春期"鼻血管纤维瘤
Eoin F Cleere1, Laura McLoughlin2, Peter D Lacy2
1Department of Otolaryngology-Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland eoincleere@rcsi.ie.
BMJ case reports
|June 19, 2023
概括
青少年鼻血管纤维瘤 (JNAs),罕见的良性瘤,可以在成年人中呈现异常. 这一案例凸显了非青少年男性有微妙症状的诊断挑战.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 病理学 病理学 病理学
背景情况:
- 青少年鼻血管纤维瘤 (JNA) 是一种罕见的,高血管性,良性瘤.
- JNA通常发生在青少年男性身上,呈现鼻腔阻塞和表.
- 成年人的非典型表现带来了诊断上的挑战.
研究的目的:
- 报告一个罕见的JNA病例在一个30多岁的男人.
- 突出了典型的人口之外的JNA的诊断困难.
- 强调在成年人鼻腔阻塞病例中考虑JNA的重要性.
主要方法:
- 一个30多岁的男性患有单方面鼻腔阻塞的病例报告.
- 诊断工作包括临床检查和横截面成像 (CT/MRI).
- 手术切除活检证实了JNA的诊断.
主要成果:
- 一个2.5×2.1×1.3厘米的质量被确定在左侧状鼻与骨质侵蚀.
- 通过组织病理学证实该质量是JNA.
- 患者在手术后仍然没有症状.
结论:
- 在成年男性中,JNA可能会出现微妙的症状.
- 在非青少年人群中诊断JNA需要高度的临床怀疑.
- 早期诊断和手术管理对于有利的结果至关重要.
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