nasal hemangioma

Introduction

Introduction to nasal hemangioma Hemangiomas are common in vascular tumors that occur in the nose. Other rare tumors include vascular endothelial cell tumor, vascular epithelioma, fibroangioma, angiofibroma, and vascular lymphangioma. Hemangiomas are congenital benign tumors or vascular malformations. Nasal hemangioma often occurs in the nasal cavity, especially in the nasal septum, and can also occur in the nasal bone, nasal vestibule and maxillary sinus. The clinical manifestations of nasal and sinus aneurysms vary with the length of the disease and the extent of the lesion. Nasal hemangioma is mainly unilateral progressive nasal obstruction. If the tumor pressure forces the septum to be deflected, there are bilateral nasal obstructions and repeated epistaxis. For the outstanding performance of this disease, the amount of bleeding varies, and there may be secondary anemia in the bleeding. Early sinus hemangioma may have no symptoms. As the lesion increases, nasal obstruction, nosebleed, or hemangioma may occur. The prolapse of the anterior nares or the backward entry into the nasopharynx leads to obstruction of the eustachian tube. If the tumor is larger, the sinus cavity is enlarged, the bone wall is compressed, absorbed, thinned, or even destroyed. The tumor expands outward and facial deformity may occur. , exophthalmos, eye movement, vision loss, diplopia, headache, etc. basic knowledge The proportion of illness: 0.025% Susceptible people: no specific people Mode of infection: non-infectious complication:

Cause

Cause of nasal hemangioma

The causes of nasal hemangioma are as follows:

1. Embryogenic Residues Nasal septal hemangioma occurs in embryonic maternal cells.

2. Chronic inflammation, such as hemorrhagic polyps, can occur in vascular degeneration of granulation tissue, and some people think that the maxillary sinus cavernous hemangioma is caused by polypoid torsion, venous stasis and other nutritional disorders.

3. Trauma said that the lower part of the nasal septum is susceptible to trauma, dryness and other stimuli, and hair cell tumors are often found here, or related to trauma.

4. Endocrine The nasal hemangioma can suddenly appear or increase during pregnancy, shrinks after delivery, and often occurs in the late pregnancy, which may be related to blood circulation disorder or endocrine activity at that time.

5. A true benign tumor.

Prevention

Nasal hemangioma prevention

Cancer should be obtained from your own life behavior, and cancer prevention is currently divided into three levels:

Primary prevention is to reduce or eliminate the carcinogenic effects of various carcinogenic factors on the human body and reduce the incidence rate. For example, you should pay attention to participate in physical exercise, change your own low mood, maintain strong energy, and improve your immune function and disease resistance. Pay attention to diet, drinking water, prevent cancer from entering the mouth; do not eat mildew and spoilage, burnt food and smoked, grilled, marinated, soaked food, or do not drink for a long time to store water, no smoking, no alcohol, Scientifically match the diet, eat more fresh vegetables, fruits and nutritious foods, develop good hygiene habits, and at the same time pay attention to protect the environment, avoid and reduce pollution to the atmosphere, diet, drinking water, can prevent physical, chemical and parasites , cancer and other carcinogens on the human body, effectively prevent the occurrence of cancer.

Secondary prevention is the use of early detection, B-type ultrasound scan, alpha-fetoprotein determination, can reveal liver cancer; routine vaginal cytology examination, early detection of cervical cancer; esophageal pull net examination, fiber esophagoscopy, gastroscopy, colonoscopy Early detection of esophageal cancer, stomach cancer, colon cancer, etc., therefore, once the body is found to have cancer, it must go to the oncology hospital to diagnose and treat, establish confidence in the fight against cancer, and actively cooperate, cancer can be cured.

Tertiary prevention is to prevent cancer recurrence and metastasis, prevent complications and sequelae when treating cancer. At present, oncology hospitals have the advantage of a comprehensive treatment, and different treatment methods for different tumor diseases, such as surgery. Resection of tumors, chemotherapy, radiotherapy, Chinese medicine, immunization and other treatments, I believe that as long as you pay attention to learning, master the common and basic knowledge of cancer prevention and treatment, everyone can capture the signs and manifestations of certain cancers as soon as possible, so as to promptly see a doctor and assist doctors to do so. Timely diagnosis and timely treatment.

Complication

Nasal hemangioma complications Complication

As cancer continues to infiltrate and develop around the tissue, different parts of it can cause a series of different symptoms, such as eyeball displacement, difficulty in opening the mouth, etc. Advanced cancer can destroy the bone through the soft tissue to the cancer or the top of the mouth. When the metastasis occurs, it can be predicted under the jaw that the swollen lymph nodes are hard and generally fixed without tenderness.

Symptom

Symptoms of nasal hemangioma Common symptoms Nasal bleeding Double vision secondary infection Bowel cyst bone destruction

Check for new purple-red creatures in the nasal cavity. The tumor is soft, with compressibility and extensibility. It is easy to hemorrhage, but it has no infiltration. If there is secondary infection, its surface is erosive, necrotic and accompanied by polyps. Only in the sinus, the nasal cavity can be unchanged, so it is often difficult to diagnose, puncture the maxillary sinus, the blood can flow out of the needle, X-ray plain film examination may have the following changes: 1 nasal cavity and ipsilateral maxillary sinus and sinus density increase evenly 2, similar to inflammatory changes; 2 maxillary sinus sinus cavity enlargement, increased density, similar to cyst-like changes; 3 sinus wall bone destruction, similar to malignant tumor changes, hemangioma often showed co-infection, necrosis, often reflected in biopsy tissue The actual condition of the disease is easy to cause bleeding, but the small and pedicled hemangioma can be removed once and pathologically sliced to confirm the diagnosis.

According to clinical manifestations and histological features, hemangiomas can be divided into three types: capillary hemangioma, cavernous hemangioma and vascular hemangioma. In addition, capillary hemangioma is a mixed type of cavernous hemangioma.

Hemangiomas vary in size and can be fine or broad-based. Capillary hemangioma is small and pedicled. Cavernous hemangioma is large and broad in base, reddish, purple or black-red, round, oval or It is mulberry-shaped, soft and elastic, easy to bleed. The cavernous hemangioma is soft and compressible. It occurs mostly in the vicinity of the natural opening of the maxillary sinus and in the inferior turbinate. The larger tumor can compress the sinus wall and destroy the bone. Invade adjacent organs.

The clinical manifestations of nasal and sinus aneurysms vary with the length of the disease and the extent of the lesion. Nasal hemangioma is mainly unilateral progressive nasal obstruction. If the tumor pressure forces the septum to be deflected, there are bilateral nasal obstructions and repeated epistaxis. For the outstanding performance of this disease, the amount of bleeding varies, and there may be secondary anemia in the bleeding. Early sinus hemangioma may have no symptoms. As the lesion increases, nasal obstruction, nosebleed, or hemangioma may occur. The prolapse of the anterior nares or the backward entry into the nasopharynx leads to obstruction of the eustachian tube. If the tumor is larger, the sinus cavity is enlarged, the bone wall is compressed, absorbed, thinned, or even destroyed. The tumor expands outward and facial deformity may occur. , exophthalmos, eye movement, vision loss, diplopia, headache, etc.

Examine

Nasal hemangioma

X-ray film inspection may have the following changes:

1 The nasal cavity and ipsilateral maxillary sinus and sinus sinus density increased uniformly, similar to inflammatory changes;

2 maxillary sinus sinus cavity enlargement, increased density, similar to cyst-like changes;

3 sinus wall bone destruction, similar to malignant tumor changes, hemangioma often showed co-infection, necrosis, the biopsy tissue often can not reflect the true situation of the disease, and is easy to cause bleeding, but small and pedunculated hemangioma can One resection and pathological section to confirm the diagnosis.

Diagnosis

Diagnosis and diagnosis of nasal hemangioma

According to the symptoms and examination results, gender, age, susceptibility to typical patients, because this tumor is very easy to bleed, generally do not do biopsy, X-ray film and CT have a certain diagnostic value for tumor size, expansion direction and range, foreign scholars Radiation imaging staging according to CT examination: stage I, tumor located in the nasopharynx, posterior nares and sphenoid sinus; stage II, tumor protruding into the nasal cavity, ethmoid sinus, maxillary sinus, buccal and medial or outward expansion In the third stage, the tumor expands outward into the infraorbital fossa and axillary fossa, buccal and lateral iliac crest; in stage IV, the tumor expands into the skull. The disease has characteristic clinical manifestations, but must be associated with nasopharyngeal malignant tumors. Differentiation of fibrous nasal polyps and posterior nostril polyps, malignant tumors have different hiatus manifestations than this disease, tumors develop rapidly, early cervical lymph node metastasis, biopsy can confirm the diagnosis, nasal polyps are soft, not easy to bleed, palpation is easy to move, mostly The pedicle originates from the nasal cavity or sinus.

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