- 期刊
Schwannoma of the Nasal Septum: A Case Report
鼻中隔之神經鞘瘤一病例報告
摘要
Schwannoma是源於神經鞘膜的良性腫瘤，位於頭頸部的schwannoma中僅有4%是源於鼻腔及鼻竇，而源於鼻中膈的schwannoma則非常少。根據文獻記載，全世界僅有12例。本文報告一例源於鼻中膈的schwannoma，患者為55歲男性，臨床表現僅有單側鼻塞，病人的影像學檢查及理學檢查皆顯示右側鼻腔內之腫瘤具良性特徵。我們安排經鼻內視鏡手術將此腫瘤完全切除，病人預後良好，沒有復發現象。此病例報告提醒我們必須將schwannoma列入鼻腔腫瘤的鑑別診斷中。
並列摘要
Schwannoma is a neurogenic tumor arising from the sheath of myelinated nerves. Only 4% of schwannomas located in the head and neck region involve the sinonasal tract, and those arising from the nasal septum are exceedingly rare. We report a case of a 55-year-old male who presented with only right nasal obstruction. Computerized tomography and clinical examination suggested a benign tumor before the tumor was completely removed by transnasal endoscopic surgery. When encountering a mass in the nasal cavity, schwannoma should be borne in mind in the differential diagnosis. We discuss the clinical presentation, histologic features, differential diagnosis, and therapeutic options for such a rare lesion.
延伸閱讀
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