Žilni tumorji nosu in obnosnih votlin = Vascular tumours of the nose and paranasal sinuses
Stopar, Simon, zdravnik ; Podboj, Jernej
Introduction: Lobular capillary hemangioma and cavernous hemangioma are the most frequent benign vascular tumours in the area of the nose and paranasal sinuses compared to malignant tumours ...(angiosarcoma, hemangiopericytoma, hemangioendothelioma), which are very rare. Patients: In the period 1990-1999,the Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre, Ljubljana, Slovenia, treated 36 patients with vascular tumours of the nose and paranasal sinuses, 30 of whom had benign and 6 had malignant tumours. There were 19 female and 17 male patients. Surgical treatment was performed on all the patients. A patient with a high grade angiosarcoma received postoperative chemotherapy, during which the tumour recurred. Later, radical surgery was performed in combination with radiotherapy. Two patients with hemangioendothelioma and one with a low grade angiosarcoma were treated with radiotherapy (TD 50-GO Gy), primarily postoperatively. Results: The tumour recurred in one of the patients with un intraosseal cavernous hemangioma and in one with a high grade angiosarcoma; itwas surgically removed (radical excision). Following surgery using the sublabial approach, two patients experienced complications in the form of oroantral fistulae, which were surgically managed. The patients showed no signs of a relapse in the period from one to nine years after the completion of treatment. Discussion: Radical surgery is the most important part of treatment of benign and malignant vascular tumours of the nose and paranasal sinuses. In some cases, endoscopic surgery can be performed. The decision on additional therapy of malignant tumours with radiotherapy and/or chemotherapy depends on the histological diagnosis, grade of malignancy and radicality of the surgery. Endoscopic control examinations are performed regularly in the folow-up of our patients.
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