Kaposiform hemangioendothelioma arising in the ethmoid sinus of an 8-year-old girl with severe epistaxis
Kaposiform hemangioendothelioma arising in the ethmoid sinus of an 8-year-old girl with severe epistaxis
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DOI：
10.1002/hed.20414
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发表时间：
2006-08-01
影响因子：
2.9
通讯作者：
Gysin, Claudine
中科院分区：
文献类型：
--
作者：
Birchler, Manfred T.;Schmid, Stephan;Gysin, Claudine
背景。鼻出血在儿童时期很常见。它主要发生在男孩身上，通常是自限性的。外伤和挖鼻是最常见的原因。一般情况下，鼻出血可通过鼻前填塞或电凝治疗。我们报告一例8岁女童严重的单侧鼻出血。出血起源于左鼻腔和筛窦的卡样血管内皮瘤。首先栓塞源自上颌动脉的供血血管。然后通过联合筛外切除术和鼻内入路手术切除肿瘤。术后过程平淡无奇。术后6个月MRI未见肿瘤复发。我们报告了一个以前未描述的儿童鼻出血的原因，即卡样血管内皮瘤。据我们所知，这是英语文学中第一次出现这种情况。在儿童人群中，严重单侧鼻出血的鉴别诊断应包括卡泊样血管内皮瘤的可能性。(c) 2006 Wiley期刊公司
Background. Epistaxis is very common during childhood. It occurs primarily in boys and is usually self-limiting. Trauma and nose picking are among the most common causes. In general, epistaxis can be easily treated with anterior nasal packing or electrocoagulation.Methods. We report a case of an 8-year-old girl with severe unilateral epistaxis.Results. The bleeding originated from a kaposiform hemangioendothelioma arising in the left nasal cavity and ethmoid sinus. The feeding vessels originating from the maxillary artery were first embolized. The tumor was then surgically removed through a combined external ethmoidectomy and endonasal approach. The postoperative course was uneventful. MRI at 6 months after surgery showed no tumor recurrence.Conclusions. We report a previously undescribed cause of epistaxis in children, namely, a kaposiform hemangioendothelioma. To our knowledge, this is the first such case in the English-language literature. The differential diagnosis of severe unilateral nasal bleeding among the pediatric population should include the possibility of a kaposiform hemangioendothelioma. (c) 2006 Wiley Periodicals, Inc.