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一个罕见的血管纤维瘤病例,呈现为内淋巴囊瘤

Erika Elfstrand¹, Christian Löfvenberg¹, Lars Lundman¹

¹Department of Otolaryngology, Central Hospital, Karlstad, Sweden.

The Laryngoscope

|September 18, 2023

概括

一个罕见的血管纤维瘤被发现在内淋巴囊附近在一个患有和自声症的病人. 这一案例突出显示了内淋巴囊瘤 (ELST) 的独特表现.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经科学是一个神经科学.
病理学病理学病理学

背景情况:

一名30岁的男子经历了头和自音,这些症状可能与内耳或骨病理有关.
宫静脉引起的肌原潜力 (CVEMP) 表明可能存在上半圆通道脱光症 (SSCD).

研究的目的:

报告一个独特的外鼻血管纤维瘤 (ENA) 病例,起源于内淋巴囊附近.
描述这种罕见疾病的诊断挑战和手术管理.
为了解骨中ENA的理解做出贡献.

主要方法:

临床表现和听力学测试 (CVEMP).
磁共振成像 (MRI) 用于质量表征.
手术切除和瘤的组织病理学检查.

主要成果:

CVEMP显示左侧前庭损伤.
磁力共振成像显示,骨中存在多叶囊性质.
组织病理学证实该质块是血管纤维瘤,而不是ELST.
发现瘤起源于内淋巴囊附近,这是ENA的以前未报告的位置.

结论:

这一案例是首次报告ENA发生在内淋巴囊附近的案例.
在出现前体症状的骨质的差异诊断中应考虑血管纤维瘤.
准确的组织病理学诊断对于适当的管理至关重要.

关键词:

内淋巴囊内淋巴囊瘤瘤额外鼻喉血管纤维瘤后半圆形通道脱的发生.

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