Muthukumar R, Gowthame K, Rajasekaran S, Prabakaran S, Navin R B Namasivaya, Balaji D, Kumar B Sarath, Preethi T, George Rani, Adithya V
Department Of Otorhinolaryngology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamilnadu, 603103 India.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5852-5856. doi: 10.1007/s12070-024-04910-6. Epub 2024 Aug 1.
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.
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。