PDF(Pubmed)
Abstract：
UNASSIGNED: Lobular capillary hemangioma (LCH) is a benign vascular lesion typically affecting the head and neck region, especially the nasal cavity. However, its occurrence in the nasal cavity of the pediatric population is rare, making its diagnosis and management crucial in such cases.
METHODS: A 7-year-old female presented with left-sided nasal obstruction and recurrent epistaxis for 4 months. Examination revealed a dark purplish-red nasal mass, which bled easily upon probing. CT scans showed a soft tissue lesion with post-contrast enhancement. Histopathological examination confirmed lobular capillary hemangioma. The patient successfully underwent surgical excision without pre-operative embolization.
UNASSIGNED: LCH affects both the skin and mucous membranes. Although its exact etiology remains debated, trauma is a leading risk factor for its development. Biopsy and radiological investigations confirm its diagnosis. Differentiating LCH from other vascular disorders with similar presentations is essential for a thorough understanding and better management. Endoscopic surgical excision combined with electrodesiccation is the treatment of choice.
CONCLUSIONS: Intranasal LCH in children is infrequent. An accurate diagnosis is essential for a comprehensive understanding. Surgical excision with electrodesiccation is the preferred treatment, but the role of pre-operative embolization is still under discussion.
METHODS: A 7-year-old female presented with left-sided nasal obstruction and recurrent epistaxis for 4 months. Examination revealed a dark purplish-red nasal mass, which bled easily upon probing. CT scans showed a soft tissue lesion with post-contrast enhancement. Histopathological examination confirmed lobular capillary hemangioma. The patient successfully underwent surgical excision without pre-operative embolization.
UNASSIGNED: LCH affects both the skin and mucous membranes. Although its exact etiology remains debated, trauma is a leading risk factor for its development. Biopsy and radiological investigations confirm its diagnosis. Differentiating LCH from other vascular disorders with similar presentations is essential for a thorough understanding and better management. Endoscopic surgical excision combined with electrodesiccation is the treatment of choice.
CONCLUSIONS: Intranasal LCH in children is infrequent. An accurate diagnosis is essential for a comprehensive understanding. Surgical excision with electrodesiccation is the preferred treatment, but the role of pre-operative embolization is still under discussion.
摘要：
■小叶毛细血管瘤（LCH）是一种良性血管病变，通常累及头颈部，尤其是鼻腔.然而,它在儿科人群的鼻腔中很少发生，使其诊断和管理在这种情况下至关重要。
方法：一名7岁女性患者出现左侧鼻塞和复发性鼻出血4个月。检查发现有一个深紫红色的鼻腔肿块，在探测时很容易流血。CT扫描显示软组织病变，造影后增强。组织病理学检查证实小叶毛细血管瘤。患者成功接受了手术切除，没有术前栓塞。
■LCH影响皮肤和粘膜。尽管其确切病因仍有争议，创伤是其发展的主要危险因素。活检和放射学检查证实了其诊断。将LCH与具有相似表现的其他血管疾病区分开来对于彻底了解和更好的管理至关重要。内镜手术切除联合电干燥是首选治疗方法。
结论：儿童鼻内LCH不常见。准确的诊断对于全面理解至关重要。电干燥手术切除是首选治疗方法，但术前栓塞的作用仍在讨论中。
方法：一名7岁女性患者出现左侧鼻塞和复发性鼻出血4个月。检查发现有一个深紫红色的鼻腔肿块，在探测时很容易流血。CT扫描显示软组织病变，造影后增强。组织病理学检查证实小叶毛细血管瘤。患者成功接受了手术切除，没有术前栓塞。
■LCH影响皮肤和粘膜。尽管其确切病因仍有争议，创伤是其发展的主要危险因素。活检和放射学检查证实了其诊断。将LCH与具有相似表现的其他血管疾病区分开来对于彻底了解和更好的管理至关重要。内镜手术切除联合电干燥是首选治疗方法。
结论：儿童鼻内LCH不常见。准确的诊断对于全面理解至关重要。电干燥手术切除是首选治疗方法，但术前栓塞的作用仍在讨论中。
