ナビゲーション支援下に鼻内視鏡手術にて摘出し得た若年性血管線維腫症例
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概要
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We report a case of juvenile angiofibroma (JA), a rare, benign but locally aggressive vascular tumor, occurring exclusively in adolescent men, that is usually treated using surgery despite the frequent involvement of heavy bleeding.16-year-old man seen for a 5-month long nasal obstruction was diagnosed with JA based on endoscopy and magnetic resonance imaging (MRI) findings.The tumor was completely resected in endoscopic endonasal surgery combined with preoperative arterial-supply embolization using image-guided navigation. A purely endoscopic approach is thus reliable, and applicable even in Sessions stage IIA tumors.Endoscopic resection is effective in treating JA together with preoperative embolization and image-guided navigation. Open surgery should, however, be prepared for, just in case the need for it should arise.
- 日本鼻科学会の論文
日本鼻科学会 | 論文
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