Şahin Bayram, Sönmez Said, Kara Hakan, Aydemir Levent, Çomoğlu Şenol
Department of Otorhinolaryngology & Head and Neck Surgery, Derince Training and Research Hospital, Health Sciences University, Kocaeli.
Department of Otorhinolaryngology & Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Istanbul, Turkey.
J Craniofac Surg. 2020 Jan/Feb;31(1):e65-e67. doi: 10.1097/SCS.0000000000005899.
Seromucinous hamartoma (SH) is a rarely seen benign polypoid mass of the sinonasal tract. Although the most common presentation symptom is nasal obstruction, most of the patients are asymptomatic. In this paper, the authors present an additional case of SH and discuss its differential diagnosis. A 34-year-old male patient presented with progressive nasal obstruction and serous nasal discharge for several months. A well-defined polypoid mass was detected in the left nasal cavity during the endoscopic assessment. Preoperative biopsy was reported as benign polypoid lesion. The mass was resected via transnasal endoscopic approach and final pathological examination was notified as SH.The SH is an uncommon tumor, originates from nasal septum in the most cases and presents as a well-circumscribed polypoid mass. Radiological imaging modalities and biopsy should be performed to distinguish from the sinonasal malignancies. Complete surgical excision is recommended treatment and recurrence is almost never.
浆液黏液性错构瘤（SH）是一种罕见的鼻窦道良性息肉样肿物。虽然最常见的表现症状是鼻塞，但大多数患者并无症状。在本文中，作者报告了一例额外的浆液黏液性错构瘤病例并讨论了其鉴别诊断。一名34岁男性患者出现进行性鼻塞和浆液性鼻分泌物数月。在内镜评估中，在左侧鼻腔发现一个边界清晰的息肉样肿物。术前活检报告为良性息肉样病变。该肿物通过经鼻内镜手术切除，最终病理检查确诊为浆液黏液性错构瘤。浆液黏液性错构瘤是一种罕见肿瘤，多数情况下起源于鼻中隔，表现为边界清晰的息肉样肿物。应进行放射学成像检查和活检以与鼻窦恶性肿瘤相鉴别。推荐的治疗方法是完整手术切除，几乎不会复发。
