鼻咽纤维血管瘤的影像表现及临床南华大学附属第一医院版权所有l患者：男，26 岁l主诉：右鼻出血2 天图1 CT 平扫图2 CT 增强南华大学附属第一医院版权所有影像图像图3 增强矢状位图4 骨窗南华大学附属第一医院版权所有影像图像图5 MRI T1WI图6 MRI T2WI南华大学附属第一医院版权所有影像图像图7 MRI T1WI 增强图8 MRI T1WI 增强图9 MRI T1WI 增强南华大学附属第一医院版权所有影像图像图10 DSA 冠状位图11 DSA 矢状位南华大学附属第一医院版权所有l患者：男，26 岁l主诉：右鼻出血2 天l现病史：患者输2 天前无明显诱因出现右鼻出血，为鲜血，呈滴状，先从左前鼻孔出，后亦从口中、右鼻流出，数分钟后停止，反复出现多次，总量约为100ml ，无鼻塞，流涕，嗅觉正常。无头痛、发热、咳嗽、打鼾，无耳鸣、而鼻塞感，无听力下降。于当地医院治疗，予以鼻腔填塞，症状好转。在中山陈星海医院，予以电子喉镜检查“右鼻腔肿物，性质待查”。l既往史：否认肝炎、结核、疟疾病史，否认高血压、心脏病史，否认糖尿病、脑血管疾病史，否认手术、外伤、输血史，否认食物、药物等过敏史，否认吸烟、饮酒史，否认毒物接触史。南华大学附属第一医院版权所有Abstract Nasopharyngeal angiofibroma (NA) is a rare,vascular tumor affecting dolescent males. Due to aggressive local growth, skull base location and risk of profound hemorrhage, NA is a challenge for surgeons.Angiofibromas tumor showed intensive contrast enhancement on CT and magnetic resonance imaging (MRI) scans, and abundant vascularity on angiography.南华大学附属第一医院版权所有Background(NA) is a rare vascular tumor, which represents 0.05 % of all head and neck tumors. At the same time, it is the most common benign neoplasm of the nasopharynx . NA occurs predominantly in adolescent males. Although histologically benign it shows locally aggressive growth with bone destruction and spread through natural foramina and fissures. 南华大学附属第一医院版权所有It originates from the posterolateral wall of the nasopharynx and from this site usually extends to the naso...
