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摘要


神經鞘瘤(Schwannoma or neurilemmo ma)是一種常見起源於周邊神經系統的良性腫瘤,而發生於鼻中隔卻很罕見,根據文獻索引,全世界已報告之病例至 2000年只有12例。本院於2001年底經歷一名56歲男性病人,因為長期鼻塞至本院門診求診。經前鼻鏡檢查,發現右側鼻道有一蒼白腫塊,鼻竇電腦斷層婦描顯示有異常軟組織佔據右鼻腔並對右側上頜竇的內側壁造成壓迫。經鼻竇內視鏡手術發現此腫瘤起源於鼻中隔,完全摘除後其病理報告為神經鞘瘤。由於案例罕見,特此提出報告,並就過去文獻,討論此病的成因、診斷及處置。

關鍵字

鼻腔 鼻腔腫瘤 鼻中隔 鼻竇 神經鞘瘤

並列摘要


Schwannomas (neurilemmomas) are common neurogenic tumors of the peripheral nervous system. Sinonasal tract schwannomas are uncommon, especially those arising from the nasal septum (only 12 cases have been reported). We report the case of a 56-year old man who presented with the complaint of right nasal obstruction for several years. Anterior rhinoscopy showed a pale, polypoid mass occupying the right nasal cavity. Computed tomography (CT) demonstrated a right nasal cavity lesion compressing the medial wall of the maxillary sinus. The mass was completely excised from the nasal septum during endoscopic sinus surgery. Pathological examination confirmed that the lesion was a schwannoma. A review of the literature regarding clinical presentation, histology, differential diagnosis and therapeutic options for nasal septum schwannomas is included.

並列關鍵字

nasal cavity nasal neoplasms nasal septum sinus schwanomma

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