Wang Ling-Feng, Tai Chih-Feng, Chai Chee-Yin, Ho Kuen-Yao, Kuo Wen-Rei
Department of Otolaryngology, Kaohsiung Medical University, Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2004 Mar;20(3):142-5. doi: 10.1016/S1607-551X(09)70099-3.
Schwannoma is a neurogenic tumor arising from the sheath of myelinated nerves. Only 4% of schwannomas located in the head and neck region involve the sinonasal tract, and those arising from the nasal septum are exceedingly rare. We report a case of a 55-year-old male who presented with only right nasal obstruction. Computerized tomography and clinical examination suggested a benign tumor before the tumor was completely removed by transnasal endoscopic surgery. When encountering a mass in the nasal cavity, schwannoma should be borne in mind in the differential diagnosis. We discuss the clinical presentation, histologic features, differential diagnosis, and therapeutic options for such a rare lesion.
神经鞘瘤是一种起源于有髓神经鞘的神经源性肿瘤。位于头颈部区域的神经鞘瘤仅有4%累及鼻窦道,而起源于鼻中隔的神经鞘瘤极为罕见。我们报告一例55岁男性病例,该患者仅表现为右侧鼻塞。在经鼻内镜手术完全切除肿瘤之前,计算机断层扫描和临床检查提示为良性肿瘤。当鼻腔内遇到肿物时,鉴别诊断应考虑神经鞘瘤。我们讨论了这种罕见病变的临床表现、组织学特征、鉴别诊断及治疗选择。