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鼻中隔软骨瘤1例罕见病例

A Rare Case of Chondroma of the Cartilaginous Nasal Septum.

作者信息

Sankar Sakthimurugan, Sudarsan Shyam Sudhakar, R Dinesh Ram

机构信息

Otorhinolaryngology, Saveetha Institute of Medical and Technical Sciences, Chennai, IND.

出版信息

Cureus. 2024 Oct 4;16(10):e70830. doi: 10.7759/cureus.70830. eCollection 2024 Oct.

DOI:10.7759/cureus.70830
PMID:39497890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11533116/
Abstract

Nasal chondromas, benign and slow-growing tumors, have been scarcely documented in medical literature, with fewer than 150 cases reported. This case study presents a rare instance of nasal septum chondroma arising from the anterior part of the septum. A 50-year-old woman presented with complaints of bilateral nasal blockage for five months, with no history of trauma or nasal pain. Imaging and histopathological evaluations confirmed the diagnosis of a benign chondroma. The tumor was successfully removed through a sublabial approach to the pyriform aperture, preserving the nasal framework, and the patient remained asymptomatic for 18 months postoperatively with no recurrence. While nasal chondromas are benign, they have the potential for local invasion and sarcomatous transformation, necessitating long-term follow-up. This case underscores the importance of thorough histopathological examination and careful surgical intervention to ensure a favorable prognosis.

摘要

鼻软骨瘤是一种良性且生长缓慢的肿瘤,医学文献中对此记载甚少,报告的病例不足150例。本病例研究展示了一个罕见的鼻中隔软骨瘤病例,该肿瘤起源于鼻中隔前部。一名50岁女性因双侧鼻塞5个月就诊,无外伤或鼻痛史。影像学和组织病理学评估确诊为良性软骨瘤。通过经唇下入路至梨状孔成功切除肿瘤,保留了鼻支架结构,患者术后18个月无症状且无复发。虽然鼻软骨瘤是良性的,但它们有局部侵袭和肉瘤样变的可能,因此需要长期随访。本病例强调了全面的组织病理学检查和谨慎的手术干预对于确保良好预后的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/9908091e1ef8/cureus-0016-00000070830-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/c19c5c1bf12c/cureus-0016-00000070830-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/1352dad77a30/cureus-0016-00000070830-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/6bbad238684d/cureus-0016-00000070830-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/a08f13a71051/cureus-0016-00000070830-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/9282cb8b3a20/cureus-0016-00000070830-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/8789043a003b/cureus-0016-00000070830-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/4bde76d3ebaa/cureus-0016-00000070830-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/9908091e1ef8/cureus-0016-00000070830-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/c19c5c1bf12c/cureus-0016-00000070830-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/1352dad77a30/cureus-0016-00000070830-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/6bbad238684d/cureus-0016-00000070830-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/a08f13a71051/cureus-0016-00000070830-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/9282cb8b3a20/cureus-0016-00000070830-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/8789043a003b/cureus-0016-00000070830-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/4bde76d3ebaa/cureus-0016-00000070830-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac42/11533116/9908091e1ef8/cureus-0016-00000070830-i08.jpg

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1
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本文引用的文献

1
Chondroma of the nasal bone: a case report.鼻骨软骨瘤:一例报告
Ear Nose Throat J. 2006 Jan;85(1):44-6.
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Nasal septum chondroma: a case report.鼻中隔软骨瘤:一例报告。
Kaohsiung J Med Sci. 2005 Mar;21(3):142-5. doi: 10.1016/S1607-551X(09)70292-X.
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Nasal chondroma.鼻软骨瘤
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Skull base chondroma presenting in pregnancy.妊娠期出现的颅底软骨瘤。
J Neurol Neurosurg Psychiatry. 1987 Aug;50(8):1078-9. doi: 10.1136/jnnp.50.8.1078-a.
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Chondrosarcomas of the head and neck.头颈部软骨肉瘤
World J Surg. 1992 Sep-Oct;16(5):1010-5; discussion 1015-6. doi: 10.1007/BF02067021.
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The nasal chondroma. 2 case reports and a survey of the literature.鼻软骨瘤:2例报告及文献综述
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