Yamaguchi Wataru, Iida Makoto, Watanabe Subaru, Sugimoto Naoki, Otori Nobuyoshi, Kojima Hiromi
Nihon Jibiinkoka Gakkai Kaiho. 2016 Nov;119(11):1404-9.
Chondroma of the head and neck are commonly found in the nasal cavity, paranasal sinus, or larynx but rarely at other sites. Here we report a rare case of nasopharyngeal chondroma arising from the Eustacian tube. The patient was a 55-year-old male with chief complaints of nasal obstruction and left ear fullness. Nasal observation showed a white mass lesion filling the area extending from the left Eustachian tube to the nasopharynx. Computed tomography and magnetic resonance imaging of the pharynx showed a mass lesion occupying the nasopharyngeal cavity. We performed surgical excision of the nasopharyngeal tumor via the endoscopic endonasal approach. Histopathological examination performed at our hospital led to the diagnosis of chondroma. As of this report, 4 months have passed since surgery and the patient has not experienced a relapse. Although chondroma is a benign tumor, local recurrence or malignant transformation is possible. Therefore, these patients should continue to be followed up regularly.
头颈部软骨瘤常见于鼻腔、鼻窦或喉部,但很少见于其他部位。在此,我们报告一例罕见的源自咽鼓管的鼻咽部软骨瘤病例。患者为一名55岁男性,主要症状为鼻塞和左耳闷胀感。鼻腔检查发现一个白色肿物,占据从左耳咽管至鼻咽部的区域。咽部计算机断层扫描和磁共振成像显示一个肿物占据鼻咽腔。我们通过鼻内镜经鼻入路对鼻咽部肿瘤进行了手术切除。我院进行的组织病理学检查确诊为软骨瘤。截至本报告时,手术后已过去4个月,患者未出现复发。尽管软骨瘤是一种良性肿瘤,但仍有可能发生局部复发或恶变。因此,这些患者应继续定期随访。