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一例罕见的鼻腔神经鞘瘤病例报告。

A Rare Case Report of Nasal Schwannoma.

作者信息

Muthukumar R, Gowthame K, Rajasekaran S, Prabakaran S, Navin R B Namasivaya, Balaji D, Kumar B Sarath, Preethi T, George Rani, Adithya V

机构信息

Department Of Otorhinolaryngology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamilnadu, 603103 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5852-5856. doi: 10.1007/s12070-024-04910-6. Epub 2024 Aug 1.

Abstract

Schwannoma is a rare mass that is benign. It develops from the Schwann cells found in the peripheral nerves. Schwannomas consists of spindle cells exhibiting two unique histological patterns, which may be combined: Antoni type A and type B. When evaluating individuals who have a polyp-like growth in their nose and complain of one-sided nasal blockage, it is crucial to take into account the possibility of a schwannoma as part of the potential diagnoses. A 70-year-old female patient arrived with a gradual and persistent obstruction of the nasal passages over a period of six months. A polypoidal reddish mass was observed in the middle meatus during nasal endoscopy. Endoscopic transnasal excision was carried out. Additionally, a middle meatal antrostomy was done. The potential differential diagnoses encompass carcinoma, inverted papilloma, sarcoma, lymphoma, and neurofibroma. The most recommended method for treating nasal schwannoma is transnasal endoscopic surgery.

摘要

神经鞘瘤是一种罕见的良性肿块。它由周围神经中的施万细胞发育而来。神经鞘瘤由呈现两种独特组织学模式的梭形细胞组成,这两种模式可能会合并存在:Antoni A型和B型。在评估鼻子里有息肉样生长且主诉单侧鼻塞的个体时,将神经鞘瘤作为潜在诊断之一加以考虑至关重要。一名70岁女性患者因鼻腔逐渐持续阻塞六个月前来就诊。鼻内镜检查时在中鼻道观察到一个息肉样红色肿物。实施了鼻内镜经鼻切除术。此外,还进行了中鼻道上颌窦造口术。潜在的鉴别诊断包括癌、内翻性乳头状瘤、肉瘤、淋巴瘤和神经纤维瘤。治疗鼻神经鞘瘤最推荐的方法是经鼻内镜手术。

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Auris Nasus Larynx. 1993;20(4):297-301. doi: 10.1016/s0385-8146(12)80122-2.

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