术前栓塞治疗鼻腔血管肉瘤 优化术内和术后结果:一个案例报告
Ahmad Muhammad Al-Arman1, Hisham Atef Ebada1, Mohamed M Elrakhawy1
1Mansoura University, Egypt.
The Annals of otology, rhinology, and laryngology
|December 31, 2025
概括
鼻血管瘤是一种罕见的血管瘤,需要早期诊断和多式治疗. 术前栓塞有助于安全切除,改善了这种侵袭性恶性瘤的预后.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 血管瘤 血管瘤
背景情况:
- 血管肉瘤是一种罕见的,侵略性的癌症,占<1%的头恶性瘤.
- 初级鼻血管肉瘤是非常罕见的,记录的病例少于40例.
- 这种瘤的预后不好,原因是复发和转移率高,缺乏标准治疗.
研究的目的:
- 为了突出一个罕见的鼻腔血管肉瘤病例.
- 强调手术前栓塞在治疗鼻腔血管肉瘤中的作用.
- 讨论对鼻腔血管肉瘤的最佳治疗策略和长期结果.
主要方法:
- 一个33岁的男性患有鼻腔血管肉瘤的病例报告.
- 诊断成像显示出一个巨大的,具有破坏性的鼻质.
- 组织病理学和免疫组织化学证实了诊断.
- 进行了食血管的手术前栓塞.
- 实现了带有负边际的内镜切除.
- 进行了辅助性放射治疗.
主要成果:
- 成功的手术前栓塞导致几乎完全的神经硬化.
- 内镜切除促进了安全的瘤切除,利率为负.
- 患者在治疗后65个月内保持无疾病状态.
- 这代表了对鼻腔血管肉瘤的最长报告的生存率之一.
结论:
- 鼻腔血管瘤是一种罕见的,侵略性的瘤,必须在鼻腔血管病变的差异性诊断中加以考虑.
- 术前栓塞对于减少手术内出血和实现安全切除至关重要.
- 早期诊断,多式疗法和警的随访对于改善患者的治疗结果至关重要.
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