喉部肉芽肿型毛细血管瘤临床分析

吴俊福; 钱敏飞; 周佳青

doi:10.13201/j.issn.1001-1781.2012.15.005

喉部肉芽肿型毛细血管瘤临床分析

- 上海交通大学医学院附属仁济医院耳鼻咽喉头颈外科(上海, 200127)

详细信息

通讯作者: 周佳青,E-mail:jqzhou03@163.com

中图分类号: R732.2

收稿日期: 2011-09-20

Clinical analysis of granulomatous capillary hemangioma of the larynx

- Department of Otorhinolaryngology Head and Neck Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China

More Information

Corresponding author: ZHOU Jiaqing, E-mail: jqzhou03@163.com

Received Date: 20 September 2011

摘要

摘要: 目的:提高对喉部肉芽肿型毛细血管瘤诊治的认识。方法:收集我科2006-2011年间收治的肉芽肿型毛细血管瘤患者,分析患者的临床资料、治疗及随访观察情况。结果:10例喉部肉芽肿型毛细血管瘤患者中,8例以声嘶为主要表现,这8例中有3例同时伴有咽喉部异物感,1例以咯血为主要表现,1例以咽部异物感伴痰中带血为主要表现就诊,均给予手术治疗,有4例辅以CO₂激光治疗。无一例复发。结论:肉芽肿型毛细血管瘤是一种良性的血管增生性病变,非真性肿瘤,完整切除肿块,术后很少复发,预后良好。
- 喉 /
- 血管瘤 /
- 外科手术
Abstract: Objective: To improve the acknowledgement of clinician on granulomatous capillary hemangioma of the larynx.Method: Collect patients in our hospital who were treated with granulomatous capillary hemangioma of the larynx from 2006 to 2011 and the clinical data、treatment and follow-up consequence were retrospectively analyzed.Conclusion: There are 10 cases of laryngeal granulomatous capillary. Eight patients with hoarseness as the chief complaint, in the eight patients three cases associated with foreign body sensation in the throat. One patient with hemoptysis as the main performance. The left one patient to hospital because of pharyngeal foreign body sensation associated with blood in the sputum. All were treated with surgery, there are several cases supplemented by CO2 laser treatment, so far no csse of postoperative recurrence.Conclusion: Granulomatous capillary hemangioma is a benign, vascular proliferation of the skin or mucosa,rather than ture tumor. Recurrence is rare if completely excised. The prognosis is encouraging.
- larynx /
- hemangioma /
- surgical procedures,operative

HTML全文

参考文献(14)

[1]	LEBOIT P E.Lobular capillary proliferation:the un-derlying process in diverse benign cutaneous vascularneoplasms and reactive conditions[J].Semin Derma-tol,1989,8:298-310.
[2]	NICHOLS G E,GAFFEY M J,MILLS S E,et al.Lobular capillary hemangioma.An immunohistochemi-cal study including steroid hormone receptor status[J].Am J Clin Pathol,1992,97:770-775.
[3]	MILLS S E, GAFFEY M J, FRIERSON H F, et al. Vascularlesions predilecting the head and neck region. Atlas of Tumor Pathology[J]. Tumors of the Upper Aerodigestive Tract and Ear, 2000,26:243-247.
[4]	SIMO R,DE CARPENTIER J,REJALI D,et al.Pae-diatric pyogenic granuloma presenting as a unilateral-nasal polyp[J].Rhinology,1998,36:136-138.
[5]	HSU C H,CHEN H C,WANG C H.Bilateral ex-ternal auditory canal pyogenic granuloma[J].Otolar-yngol Head Neck Surg,2008,139:596-597.
[6]	KAMANO H, NOGUCHI T,YOSHIURA T,et al. Intraorbital lobular capillary hemangioma(pyogenic granuloma)[J].Radiat Med,2008,26:609-612.
[7]	MYSSIOREK D,DHARIA A. Pyogenic granuloma of the larynx[J]. Otolaryngol Head Neck Surg,1996,115:201-202.
[8]	WALNER D L, PARKER N P, KIM O S, et al. Lobular capillary hemangioma of the neonatal larynx[J].Arch Otolaryngol Head Neck Surg,2008,134:272-277.
[9]	FALLAH H,FISCHER G,ZAGARELLA S.Pyo-genic granuloma in children:treatment with topicalimiquimod[J].Australas J Dermatol,2007,48:217-220.
[10]	GEORGIOU S,MONASTIRLI A,PASMATZI E,etal.Pyogenic granuloma:complete remission under oc-clusive imiquimod 5%cream[J].Clin Experi Derma-tol,2008,33:454-456.
[11]	EZZELL T I,FROMOWITZ J S,RAMOS-CARO F A. Recurrent pyogenic granuloma treated with topical imiquimod[J]. J Am Acad Dermatol,2006,54:244-245.
[12]	GOLDENBERG G,KROWCHUK D P,JORIZZO JL.Successful treatment of a therapy-resistant pyogen-ic granuloma with topical imiquimod 5%cream[J].JDermatolog Treat,2006,17:121-123.
[13]	FORMAN D, GOLDBERG H I. Microembolization and resection of a highly vascular pyogenic granuloma[J]. J Oral Maxillofac Surg,1990,48:415-418.
[14]	LEE J,SINNO H,TAHIRI Y,et al,Treatment op-tions for cutaneous pyogenic granulomas:a review[J].J Plast Reconstr Aesthet Surg,2011,64:1216-1220.