Canatan Mustafa O, Canatan Mehmed F, Canatan Ahmed N
Faculty of Medicine, Near East University, Nicosia, CYP.
Faculty of Medicine, Gaziantep University, Gaziantep, TUR.
Cureus. 2023 May 28;15(5):e39606. doi: 10.7759/cureus.39606. eCollection 2023 May.
Tornwaldt cysts are rare, benign lesions that typically reside along the posterior wall of the nasopharynx. They are often discovered incidentally during routine imaging studies and can pose a diagnostic challenge due to their asymptomatic nature. This case report presents the incidental finding of a Tornwaldt cyst on a CT in an asymptomatic patient and highlights the lack of intervention required. The patient, a 28-year-old male, underwent a postoperative CT scan following septoplasty for a nasal septum deviation, revealing a well-defined cystic lesion in the midline of the nasopharynx consistent with a Tornwaldt cyst. Despite the presence of the cyst, the patient did not exhibit any associated symptoms such as nasal obstruction, headache, or recurrent infections. This case emphasizes the importance of recognizing and differentiating Tornwaldt cysts from other pathologies, as misdiagnosis and unnecessary interventions can lead to potential complications. Asymptomatic Tornwaldt cysts generally do not necessitate active intervention, but ongoing vigilance and individualized patient care remain vital to ensure optimal outcomes.
托恩瓦尔特囊肿是一种罕见的良性病变，通常位于鼻咽后壁。它们常在常规影像学检查中偶然发现，因其无症状的特性，可能带来诊断挑战。本病例报告展示了一名无症状患者CT检查时偶然发现托恩瓦尔特囊肿的情况，并强调无需进行干预。该患者为一名28岁男性，因鼻中隔偏曲接受鼻中隔成形术后进行了CT扫描，结果显示鼻咽中线处有一个边界清晰的囊性病变，符合托恩瓦尔特囊肿。尽管存在囊肿，但患者未表现出任何相关症状，如鼻塞、头痛或反复感染。本病例强调了识别和区分托恩瓦尔特囊肿与其他病变的重要性，因为误诊和不必要的干预可能导致潜在并发症。无症状的托恩瓦尔特囊肿通常无需积极干预，但持续的监测和个体化的患者护理对于确保最佳结果仍然至关重要。
