Cadd Brandon, Offiah Curtis, Alusi Ghassan
ENT Department, St Bartholomew's Hospital and The Royal London Hospital, London, UK
Radiology Department, St Bartholomew's Hospital and The Royal London Hospital, London, UK.
J Surg Case Rep. 2014 Mar 21;2014(3):rju023. doi: 10.1093/jscr/rju023.
Schwannomas of the head and neck are the most common form of benign nerve sheath tumours, most commonly arising in the form of vestibular schwannomas. Schwannoma of the nasal cavity is an uncommon presentation of this pathology and specifically Schwannoma of the nasal septum is a rare presentation of this well understood disease process. We present the case of a 31-year-old Eastern European male who presented with unilateral nasal obstruction, congestion and epistaxis of 3 months duration. After imaging and biopsy, the diagnosis of nasal septal schwannoma was made on histological examination. This diagnosis of a unilateral nasal mass in a young man provides an opportunity to discuss the varied presentations of schwannoma as well as to examine to possible causes of nasal and septal masses in this demographic.
头颈部神经鞘瘤是最常见的良性神经鞘瘤形式，最常以前庭神经鞘瘤的形式出现。鼻腔神经鞘瘤是这种病理的一种不常见表现，特别是鼻中隔神经鞘瘤是这种已被充分了解的疾病过程的罕见表现。我们报告一例31岁东欧男性患者，其出现单侧鼻塞、充血和鼻出血3个月。经过影像学检查和活检，组织学检查确诊为鼻中隔神经鞘瘤。该青年男性单侧鼻腔肿物的诊断为讨论神经鞘瘤的各种表现以及研究该人群鼻腔和鼻中隔肿物的可能病因提供了机会。
