Asteguieta Sebastian, Diaz Carlos, Alarcon Javier, Godinez Vanessa
Department of Research, Universidad Francisco Marroquín, 13 av, Guatemala City 01011, Guatemala.
J Surg Case Rep. 2025 Jan 7;2025(1):rjae831. doi: 10.1093/jscr/rjae831. eCollection 2025 Jan.
A 17-year-old female presented with a mass in the right nasal fossa and eye protrusion. Imaging revealed a large osseous mass originating from the right turbinates, causing exophthalmos without tissue invasion. A partial resection via the Caldwell-Luc approach was performed, but hemodynamic instability halted the procedure, leaving a residual mass. Histopathology confirmed an osseous lesion with osteoblasts in a hypocellular stroma. The patient required blood transfusions postoperatively due to significant blood loss, but recovered well with antibiotics and supplements and was discharged after mild nausea was managed.
一名17岁女性因右鼻腔肿物及眼球突出就诊。影像学检查显示一个起源于右侧鼻甲的巨大骨性肿物，导致眼球突出但无组织侵犯。通过柯-陆氏进路进行了部分切除，但血流动力学不稳定使手术中断，遗留残余肿物。组织病理学证实为一个在细胞稀少基质中有成骨细胞的骨性病变。患者术后因大量失血需要输血，但在使用抗生素和补充剂后恢复良好，在轻度恶心症状得到控制后出院。
