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Neurochirurgie
Vol 52, N° 6  - décembre 2006
pp. 529-532
Doi : NCHIR-12-2006-52-6-0028-3770-101019-200607902
Hémangiome capillaire ethmoïdal
Cas clinique et revue de la littérature
 

R. Seizeur [1], P.-M. Josselin [1], G. Potard [2], G. Besson [1], P. Dam-Hieu [1]
[1] Service de Neurochirurgie, Hôpital de la Cavale Blanche, CHU, 29609 Brest.
[2] Service d’ORL, Hôpital Morvan, CHU, 29609 Brest.

Tirés à part : R. Seizeur,

[3] à l’adresse ci-dessus. romuald.seizeur@chu-brest.fr

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Nous rapportons l’observation exceptionnelle d’un homme de 38 ans ayant un hémangiome capillaire de siège exclusivement ethmoïdal, dont l’exérèse complète a pu être réalisée par une double voie d’abord, haute et basse.

Les hémangiomes capillaires sont des tumeurs vasculaires, bénignes et rares, qui intéressent surtout la peau de la tête et du cou, ainsi que les muqueuses orale et nasale. Aucune atteinte ethmoïdale pure n’a été rapportée dans la littérature. Le traitement de choix est chirurgical et doit assurer l’exérèse complète de la lésion. Le pronostic est alors bon et le risque de récidive est faible.

Abstract
Capillary hemangioma of the ethmoid sinus. Case report and review of the literature

We report the rare observation of a 38-year-old man diagnosed with capillary hemangioma exclusively involving the ethmoid sinus. Complete resection was obtained via ethmoid endoscopy combined with an intracranial approach.

Capillary hemangioma is a rare and benign vascular tumor in adults primarily developing in the skin and subcutaneous tissues of the head and neck, and/or within oral and nasal cavities. No hemangioma exclusively involving the ethmoid sinus has been previously reported.

Complete resection is the treatment of choice, providing a favorable prognosis with low risk of recurrence.

Keywords: capillary hemangioma , hemangioma , vascular tumor , headache , sinus , ethmoid






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