익상구개와를 점유한 무증상의 세포성 신경초종의 우연한 진단과 제거 1예
An Incidental Diagnosis and Removal of an Asymptomatic Cellular Schwannoma Involving the Pterygopalatine Fossa: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Schwannoma is a type of benign neurogenic tumor which may derive from the nerve sheath. They can occur throughout anybody but rarely manifest in the nasal cavity, representing less than 4% of all head and neck schwannomas. A 68-year-old woman presented to our clinic with a complaint of a mass occupying the space of the maxillary sinus beyond the pterygopalatine fossa. This mass was discovered during a brain magnetic resonance imaging (MRI) test conducted at another hospital during a routine health checkup. Paranasal sinus computed tomography (CT ) and magnetic resonance imaging (MRI) revealed a heterogenous enhancing mass lesion measuring approximately 4.8×2.9×3.6 cm in size. We performed a mass excision via an endoscopic transnasal approach, and she was pathologically diagnosed with a cellular schwannoma. We present a didactic case report to highlight the minimal invasive technique and the absence of postoperative complications and recurrence, along with a relevant literature review.
Abstract
Schwannoma is a type of benign neurogenic tumor which may derive from the nerve sheath. They can occur throughout anybody but rarely manifest in the nasal cavity, representing less than 4% of all head and neck schwannomas. A 68-year-old woman presented to our clinic with a complaint of a mass occupying the space of the maxillary sinus beyond the pterygopalatine fossa. This mass was discovered during a brain magnetic resonance imaging (MRI) test conducted at another hospital during a routine health checkup. Paranasal sinus computed tomography (CT ) and magnetic resonance imaging (MRI) revealed a heterogenous enhancing mass lesion measuring approximately 4.8×2.9×3.6 cm in size. We performed a mass excision via an endoscopic transnasal approach, and she was pathologically diagnosed with a cellular schwannoma. We present a didactic case report to highlight the minimal invasive technique and the absence of postoperative complications and recurrence, along with a relevant literature review.
참고문헌 (13)
- 문석균, "익돌구개와에 발생한 신경초종 1예", 대한이비인후-두경부외과학회지, 51(6), pp.552~555 (2008), 대한이비인후과학회
- 고은석, "우측 비강 내에 발생한 신경초종 1예", 임상이비인후과, 22(1), pp.106~110 (2011), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- Sunaryo PL, "Schwannomas of the sinonasal tract and anterior skull base : a systematic review of 94 cases", Am J Rhinol Allergy, 28(1), pp.39~49 (2014)
- Park SY, "A case of schwannoma in the nasal cavity", J Clin Otolaryngol Head Neck Surg, 17(2), pp.253~256 (2006)
- Kim YM, "A case of schwannoma occurring in the parapharyngeal space", J Clin Otolaryngol Head Neck Surg, 3(1), pp.151~156 (1992)
- Blake DM, "Endoscopic endonasal resection of sinonasal and anterior skull base schwannomas", J Clin Neurosci, 21(8), pp.1419~1423 (2014)
- 문영민, "비인두에 발생한 신경초종의 비내시경 수술적 제거 1예", 임상이비인후과, 30(1), pp.122~126 (2019), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- 임상호, "두경부에 발생한 신경초종에 대한 임상적 고찰", 대한이비인후-두경부외과학회지, 54(4), pp.278~282 (2011), 대한이비인후과학회
- 정남윤, "전두하 및 비강에 위치한 신경초종 1례", Journal of Rhinology, 28(2), pp.125~129 (2021), 대한비과학회[DOI]
- Zhu J, "Comparison of pathological, radiological, and prognostic features between cellular schwannoma and non-cellular schwannoma", Eur J Radiol, 141, pp.109783~ (2021)
- Pasquini E, "Endoscopic endonasal approach for the treatment of benign schwannoma of the sinonasal tract and pterygopalatine fossa", Am J Rhinol Allergy, 16(2), pp.113~118 (2002)
- Battaglia P, "Endoscopic transnasal approaches to pterygopalatine fossa tumors", Head Neck, 38(S1), pp.E214~E220 (2016)
- Swain SK, "A giant schwannoma at the pterygopalatine fossa – a case report", Med J Dr. D.Y. Patil Vidyapeeth, 16(Suppl 1), pp.S147~S150 (2023)