Pyogenic Granuloma of the Inferior Turbinate :A Case Report

Vishnupriya Pari, Ajay Kumar Arya, Yuvaraj Thirunavukarasu
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Abstract

Abstract BACKGROUND Pyogenic granuloma is a rapidly growing benign fibrovascular lesion involving the skin and mucous membranes. It usually affects the head and neck regions. The most common site is the oral cavity, while involvement of the nasal cavity is quite rare. Though few cases in the nasal cavity have been reported, occurrence in the inferior turbinates is extremely rare. The exact aetiology is unknown.It is often associated with pregnancy. Microtrauma, hormonal changes, and contraceptives may be the causative factors for the development of this vascular mass. CASE PRESENTATION Here we present the case of a 28-year-old woman, 2 weeks postpartum, with epistaxis and nasal obstruction. Diagnostic nasal endoscopy revealed a vascular mass arising from the right inferior turbinate. The patient was treated successfully by endoscopic excision of the mass.Histopatholoical examination showed as pyogenic granuloma. CONCLUSION Pyogenic granuloma should be considered as a differential diagnosis in any pregnant woman presenting with a vascular mass in the head and neck region.
下鼻甲化脓性肉芽肿1例
背景化脓性肉芽肿是一种快速生长的良性纤维血管病变,累及皮肤和粘膜。它通常影响头部和颈部。最常见的部位是口腔,而鼻腔的累及是相当罕见的。虽然在鼻腔有少数病例报道,发生在下鼻甲是极其罕见的。确切的病因尚不清楚。它通常与怀孕有关。微创伤、激素变化和避孕可能是导致这种血管肿块形成的原因。病例介绍在这里我们提出的情况下,28岁的妇女,产后2周,鼻出血和鼻塞。诊断性鼻内窥镜显示右下鼻甲有血管性肿块。患者通过内镜切除肿块成功治疗。组织病理学检查为化脓性肉芽肿。结论化脓性肉芽肿应作为孕妇头颈部血管肿块的鉴别诊断。
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