Tang Song Ling, Luke Louis, Al-Shaikh Salim
Otolaryngology, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, GBR.
Cureus. 2023 Aug 10;15(8):e43256. doi: 10.7759/cureus.43256. eCollection 2023 Aug.
A 54-year-old female presented to the otolaryngology (ENT) outpatient department with an eight-month history of unilateral nasal obstruction and headache. There was no change in the sense of smell, rhinorrhoea, facial pain, or associated epistaxis. On examination, there was a large, erythematous mass in the superior aspect of the right nasal cavity, filling the space between the nasal septum, middle, and superior meatus. The rest of the ENT examination was normal. Vital signs were all within the normal range. There was no significant past medical history, and she had tried steroid nasal spray without any benefit. She had a complete resolution of symptoms from surgical intervention, and the mass was confirmed to be an angiofibroma through histopathology. This case report discusses the importance of considering nasopharyngeal angiofibroma as a differential diagnosis for patients presenting with unilateral nasal masses, including female patients, regardless of age.
一名54岁女性因单侧鼻塞和头痛8个月就诊于耳鼻喉科门诊。嗅觉、鼻漏、面部疼痛或相关鼻出血均无变化。检查时，右侧鼻腔上部有一个大的红斑性肿物，占据鼻中隔、中鼻道和上鼻道之间的空间。耳鼻喉科其他检查均正常。生命体征均在正常范围内。既往无重大病史，她曾尝试使用类固醇鼻喷雾剂，但无任何益处。手术干预后症状完全缓解，组织病理学证实肿物为血管纤维瘤。本病例报告讨论了将鼻咽血管纤维瘤作为单侧鼻腔肿物患者（包括女性患者，无论年龄）鉴别诊断的重要性。
