Document Detail


Narrow-band imaging in the diagnosis of vascular nasal lesions.
MedLine Citation:
PMID:  23218114     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The management of unilateral nasal lesions can sometimes be a challenge and an ordinary bioptic assessment should be avoided in order to prevent complications due to their possible vascular or meningoencephalic origin. Narrow-band imaging (NBI) endoscopy could improve the diagnosis of vascular nasal formations by enhancing the visualisation of the mucosal microvascular supply. We describe the case of a 68-year-old male patient who was brought to our attention because of a left nasopharyngeal mass that had elsewhere been unsuccessfully biopsied (with conspicuous bleeding) and assessed by means of traditional endoscopic and radiological techniques. NBI endoscopy revealed increased vasculature covering most of the mucosal surface without any features suggestive for malignancy. Subsequent angiography showed that the feeding vessel was the left sphenopalatine artery, which was embolised using 150-250μm Contour embospheres. The mass was then completely removed surgically using an NBI-assisted endoscopic technique, and a histopathological examination revealed it was a hemangiopericytoma-like (HPCL) tumor. This case suggests the usefulness of NBI endoscopy in diagnosing unilateral vascularised nasal lesions and guiding the therapeutic approach before and during major surgery.
Authors:
Sara Torretta; Michele Gaffuri; Giovanna Cantarella; Lorenzo Pignataro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of otolaryngology     Volume:  34     ISSN:  1532-818X     ISO Abbreviation:  Am J Otolaryngol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000029     Medline TA:  Am J Otolaryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  75-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Affiliation:
Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy. Electronic address: sara.torretta@gmail.com.
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