伪装成恶性肿瘤的上颌窦原发性神经鞘瘤。
Primary schwannoma of maxillary sinus masquerading as malignant tumour.
作者信息
Minhas R S, Thakur J S, Sharma D R
机构信息
Department of Otolaryngology-Head and Neck Surgery, Indira Gandhi Medical College, Shimla, India.
出版信息
BMJ Case Rep. 2013 Apr 16;2013:bcr2013009267. doi: 10.1136/bcr-2013-009267.
Abstract
Polyp and mucocele are the commonest sinonasal tumours and schwannoma is rarely found in the paranasal sinuses. We report a case of a 64-year-old man presenting with progressive nasal obstruction and numbness on left cheek for the past 2 months. High-resolution CT found a soft tissue mass in the maxillary antrum with bony destruction. Clinical features, radiological scan and nasal endoscopic examination were suggestive of a malignant tumour. Tumour was excised through Caldwell-Luc's approach and histopathological examination found a mixed schwannoma.
摘要
息肉和黏液囊肿是最常见的鼻窦肿瘤，而神经鞘瘤在鼻窦中很少见。我们报告一例64岁男性病例，该患者在过去2个月中出现进行性鼻塞和左侧面颊麻木。高分辨率CT发现上颌窦有一个伴有骨质破坏的软组织肿块。临床特征、影像学扫描和鼻内镜检查提示为恶性肿瘤。通过柯-陆氏进路切除肿瘤，组织病理学检查发现为混合性神经鞘瘤。
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