若年性鼻腔血管線維腫の1例

JUVENILE NASAL ANGIOFIBROMA, A CASE REPORT

　I．はじめに

　耳鼻咽喉科領域における血管線維腫は主として鼻咽腔に発生したものであり，その症例の報告はそれほど少なくはない。しかし，鼻咽腔以外に血管線維腫が発生したという報告はきわめて少ない。私どもは最近鼻中隔に発生した血管線維腫の一症例を経験し，外科的に別出することにより治癒せしめたので，文献的考察を加えて報告する。

　A very rare case of juvenile angiofibroma arising from the nasal septum is reported. A 13-year-old boy complained of recurrent epistaxis and left-sided nasal obstruction of 2 months' duration. On rhinoscopy a firm mass filling the anterior part of the left nasal cavity was found. The surface of tumor was deep red and rich in capillaries. The tumor suspected as juvenile angiofibroma originating in the nasal cavity was extirpated by a nasal polyp snare under general anesthesia. Histopathological examination revealed it a typical angiofibroma arising from the nasal septum. To the best of our knowledge this is the first case reported in the literature. The pertinent literature is reviewed.