Peer Munawar, Tibbo Jamie, Kao Ken, Kirby Simon
Medicine, Memorial University of Newfoundland, St. John's, CAN.
Otolaryngology - Head and Neck Surgery, Memorial University of Newfoundland, St. John's, CAN.
Cureus. 2021 Jan 27;13(1):e12941. doi: 10.7759/cureus.12941.
Chondromas are benign cartilaginous tumours that rarely occur in the head and neck region. Only a limited number of cases have been reported involving the nasal septum. Here we report a case of a 55-year-old male that presented with a suspicious lesion involving his nasal septum and columella. The lesion was removed under general anesthestic using a combination of both columellar and hemitransfixion incisions. The lesion consisted of firm tan-white tissue measuring 2.5 cm. Histopathologic examination revealed a low-grade chondroid neoplasm with lobulated hyaline cartilage. No signs of ischemic change, significant pleomorphism, mitoses, or necrosis were present. This was consistent with the features of a chondroma rather than a low-grade chondrosarcoma. A chondroma should be considered in the differential diagnosis of nasal septum lesions. Surgical excision of the tumour is the preferred treatment option.
软骨瘤是一种良性软骨肿瘤，很少发生于头颈部区域。仅有少数累及鼻中隔的病例报告。在此，我们报告一例55岁男性，其鼻中隔和鼻小柱出现可疑病变。在全身麻醉下，通过联合使用鼻小柱和半贯穿切口切除病变。病变为质地硬的棕白色组织，大小为2.5厘米。组织病理学检查显示为低度软骨样肿瘤，伴有分叶状透明软骨。未见缺血改变、显著异型性、核分裂象或坏死迹象。这与软骨瘤而非低度软骨肉瘤的特征相符。在鼻中隔病变的鉴别诊断中应考虑软骨瘤。手术切除肿瘤是首选的治疗方案。
