Nasal cavity and paranasal sinus tumor vascular pericytes 1 case report and literature review.doc

 PAGE \* MERGEFORMAT 13 Nasal cavity and paranasal sinus tumor vascular pericytes 1 case report and literature review Keywords: perivascular cell tumor Perivascular cell tumor, also known as hemangiopericytoma is a rare soft tissue tumor, which can occur in any part of the body, no significant differences in sex and age, now I Section 1 cases of nasal cavity and paranasal sinuses were treated vascular pericytes of tumor report are as follows. A clinical data Patients, male, 81 years old, mainly due to “the right side of the nose block more than two years, progressive increase two weeks,” admitted to hospital. In patients with pre-hospital 2 Right nasal intermittent since feeling blocked, no nose bleeding and tears in the blood, no sneezing, runny nose and smell disorders; without tinnitus, nausea and ear discharging ear; no facial numbness, headache, dizziness, nausea and vomiting. 2 weeks before admission, the right side of the nose block sexual heavier and have repeated nasal bleeding, bright red, are small, can be self-only, with hyposmia. Palpation: T 36.1? ℃, R 18 times / min, P 70 times / min, BP 140/100? MmHg. Specialist examination: no external nose deformity, the right nasal cavity, see a gray red mass, can be activities, the surface smooth, quality and tough, easy to touch the bleeding, nasal septum is straight, no abnormal nasal secretions. Auxiliary examination: the horizontal sinus CT scan (Figure 1) shows: The right nasal cavity, maxillary sinus, ethmoid, sphenoid sinus high-density tumor shadow, border clear sinus wall of bone thinning. Sinus horizontal position enhanced CT (Figure 2) shows: tumor obviously enhanced uneven density, sinus bone wall thinning. On the right side of lip anesthesia gingival pathway and the right nasal cavity and paranasal sinuses endoscopic tumor resection. Endoscopic see the right nasal cavity filled with red and gray mass, its roots in the sphenopalatine foramen edge, crisp, easy bleedi