| A Case of Cavernous Hemangioma Originating from the Posterior End of Inferior Turbinate Misdiagnosed as the Nasopharyngeal Angiofibroma |
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Jae Yong Lee, Eun Suk Koh |
1Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea. jyent@schbc.ac.kr
2Department of Pathology, Soonchunhyang University College of Medicine, Bucheon, Korea. |
| 비인강 혈관섬유종으로 오인된 하비갑개 후단의 해면상 혈관종 |
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이재용, 고은석 |
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순천향대학교 의과대학 이비인후-두경부외과학교실,1 병리학교실2 |
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| Abstract |
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Differential diagnoses of the nasopharyngeal mass in an adolescent or in a young adult include the nasopharyngeal angiofibroma, hemangioma, antrochoanal polyp, or, in rare cases, malignant disease. A twenty one-year-old male patient visited our department with aggravated symptoms of left nasal obstruction and frequent epistaxis, which originated three years ago. Endoscopic examinations revealed a dark pinkish mass with bleeding tendency in the left nasopharynx and it was also observed in the right side due to its huge size. At first, we suspected a nasopharyngeal angiofibroma and evaluations including computed tomography and magnetic resonance imaging were performed. These studies showed a highly vascular mass confined in the nasopharynx. However, its origin was uncertain. After an angiography with embolization of feeding vessels, the mass was removed endoscopically. Unexpectedly, its origin was the posterior end of the left inferior turbinate, and the diagnosis of a cavernous hemangioma was confirmed with histopathological findings. |
| Key Words:
Hemangioma, cavernous;Angiofibroma;Turbinate;Diagnosis, differential |
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