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경막외 농양을 동반한 소엽성 모세관 혈관종 1예

A Case of Lobular Capillary Hemangioma with Epidural Abscess

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주제분류이비인후과학

초록

Lobular capillary hemangioma (LCH), also known as pyogenic granuloma, is a benign capillary proliferation with a microscopically distinctive lobular architecture that affects the skin and mucous membrane of the oral cavity and nasal region. LCH commonly involves the nasal cavity as a small hypervascular lesion arising from the anterior third of the septum or the lateral wall. Its diagnosis may be difficult in those rare instances of a large LCH that entirely fills the nasal cavity,which can be confused with more aggressive neoplasms such as hemangiopericytoma or angiosarcoma. We report an intriguing case of LCH associated with epidural hematoma presenting as a huge expansile lesion involving the anterior skull base and orbit. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:448-51

Abstract

Lobular capillary hemangioma (LCH), also known as pyogenic granuloma, is a benign capillary proliferation with a microscopically distinctive lobular architecture that affects the skin and mucous membrane of the oral cavity and nasal region. LCH commonly involves the nasal cavity as a small hypervascular lesion arising from the anterior third of the septum or the lateral wall. Its diagnosis may be difficult in those rare instances of a large LCH that entirely fills the nasal cavity,which can be confused with more aggressive neoplasms such as hemangiopericytoma or angiosarcoma. We report an intriguing case of LCH associated with epidural hematoma presenting as a huge expansile lesion involving the anterior skull base and orbit. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:448-51

참고문헌 (9)

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  2. Mills SE, "Lobular capillary hemangioma: the u4nderlying lesion of pyogenic granuloma. A study of 73 cases from the oral and nasal mucous membranes", Am J Surg Pathol, pp.470~479 (1980)
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  4. Fechner RE, "Pyogenic granuloma of the larynx and trachea. A causal and pathologic misnomer for granulation tissue", Arch Otolaryngol, 107(1), pp.30~32 (1981)
  5. Nichols GE, "Lobular capillary hemangioma. An immunohistochemical study including steroid hormone receptor status", Am J Clin Pathol, 97(6), pp.770~775 (1992)
  6. Dillon WP, "Hemangioma of the nasal vault: MR and CT features", Radiology, 180(3), pp.761~765 (1991)
  7. Lance E, "Pyogenic granuloma gravidarum of the nasal fossa: CT features", J Comput Assist Tomogr, 16(4), pp.663~664 (1992)
  8. Lee GS, "A case of lobular capillary hemangioma on the nasal septum", J Clinical Otolaryngol, 10(2), pp.277~279 (1999)
  9. Moon SG, "The pyogenic granuloma on the nasal septum. -2 cases-", Korean J Otolaryngol-Head Neck Surg, 13(4), pp.47~49 (1970)

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