Deviprasad Shetty, Rajeshwari Aroor, Tahir Mohammed, Adarsha T V, Gangadhara Somayaji
Department of ENT and Head and Neck Surgery, Yenepoya Medical College, Mangalore, Karnataka, India.
Ear Nose Throat J. 2008 Nov;87(11):E1-3.
A 40-year-old man presented with right-sided nasal blockage and epistaxis of 18 months' duration. Examination revealed a pinkish mass in the right nasal cavity and nasopharynx. Initial biopsy was suggestive of angiofibroma. Complete excision through a lateral rhinotomy approach was performed. The postoperative histopathologic report was suggestive of sinonasal neuroendocrine carcinoma, which was confirmed by immunohistochemistry. To the best of our knowledge, this is the first reported case of sinonasal neuroendocrine carcinoma arising from the lateral wall of the nasopharynx in the English literature. We describe its clinical presentation and management and provide a brief review of the literature.
一名40岁男性,有持续18个月的右侧鼻塞和鼻出血症状。检查发现右侧鼻腔和鼻咽部有一个粉红色肿物。初步活检提示为血管纤维瘤。通过外侧鼻切开术进行了完整切除。术后组织病理学报告提示为鼻窦神经内分泌癌,免疫组化予以证实。据我们所知,这是英文文献中首例报道的起源于鼻咽部侧壁的鼻窦神经内分泌癌。我们描述了其临床表现和治疗方法,并对文献进行了简要综述。