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Paraganglioma Presenting as a Nasal Septal Mass: Case Report and Literature Review

机译:副神经节瘤表现为鼻中隔肿块:病例报告和文献综述

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Objectives. To describe a rare case of a paraganglioma arising from the nasal septum and review the diagnosis and management of paragangliomas in the nasal cavity and paranasal sinuses. Methods. We present a case of a 70-year-old female presenting with persistent nasal congestion and obstruction. Nasal endoscopy revealed a posterior septal mass approaching the sphenoid sinuses and partially obstructing the nasopharynx. A biopsy of the mass was taken, and histologic analysis confirmed a diagnosis of paraganglioma. Results. The patient underwent an endoscopic resection of the tumor. There has been no evidence of disease recurrence after 3 months of follow‐up. Conclusions. Paragangliomas arising from the nasal septum are exceedingly rare, but should be considered in the differential diagnosis in patients presenting with nasal septal masses. These tumors are typically benign, although few cases of malignant sinonasal paragangliomas have been reported. Treatment requires surgical excision with close follow-up as several cases of tumor recurrence have been reported.
机译:目标。描述由鼻中隔引起的神经节旁瘤的罕见病例,并回顾鼻腔和鼻旁窦神经节旁瘤的诊断和治疗。方法。我们介绍了一名持续鼻塞和阻塞的70岁女性病例。鼻内窥镜检查显示后房间隔肿物接近蝶窦并部分阻塞鼻咽。对该肿块进行活检,并且组织学分析证实诊断为副神经节瘤。结果。病人接受了内窥镜切除的肿瘤。随访3个月后,尚无疾病复发的证据。结论。鼻中隔引起的神经节旁瘤极为罕见,但在鼻中隔肿块患者的鉴别诊断中应考虑。这些肿瘤通常是良性的,尽管很少有恶性鼻窦神经节瘤病例的报道。治疗需要手术切除并密切随访,因为据报道有几例肿瘤复发。

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