비외접근법으로 제거한 비중격에서 발생한 편평상피암 1예
A Case of Squamous Cell Carcinoma of Nasal Septum Removed Through the External Rhinoplasty Approach
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Primary tumors arising solely from the nasal septum are quite unusual. Moreover, malignanttumors arising from the nasal septum are rare and represent less than 9% of sinonasal malig-nancies. Of all reported cases of nasal septum carcinoma, squamous cell carcinoma is the mostcommon type. Due to the rare prevalence, its clinical course and prognosis are not well estab-lished. In this article, we report a case of a 79-year-old male with nasal obstruction. Endoscopicexamination showed an exophytic mass obstructing the right nasal cavity accompanied bypolypoid mass in the left nasal cavity. Punch biopsy confirmed the diagnosis of squamous cellcarcinoma by histopathology. Radiologic evaluation showed a large nasal cavity mass involv-ing the nasal septum. The tumor was removed using the external rhinoplasty approach with alarge septal resection, saving the nasal keystone area and the columella to prevent the external nose deformity.
Abstract
Primary tumors arising solely from the nasal septum are quite unusual. Moreover, malignanttumors arising from the nasal septum are rare and represent less than 9% of sinonasal malig-nancies. Of all reported cases of nasal septum carcinoma, squamous cell carcinoma is the mostcommon type. Due to the rare prevalence, its clinical course and prognosis are not well estab-lished. In this article, we report a case of a 79-year-old male with nasal obstruction. Endoscopicexamination showed an exophytic mass obstructing the right nasal cavity accompanied bypolypoid mass in the left nasal cavity. Punch biopsy confirmed the diagnosis of squamous cellcarcinoma by histopathology. Radiologic evaluation showed a large nasal cavity mass involv-ing the nasal septum. The tumor was removed using the external rhinoplasty approach with alarge septal resection, saving the nasal keystone area and the columella to prevent the external nose deformity.
참고문헌 (12)
- Echeverria-Zumarraga M, "Nasal septal carcinoma : Initial symptom of nasal septal perforation", J Laryngol Otol, 102(9), pp.834~835 (1988)
- DiLeo MD, "Nasal septal squamous cell carcinoma : A chart review and meta-analysis", Laryngoscope, 106(10), pp.1218~1222 (1996)
- 이동훈, "양성 및 악성 비중격 종양의 임상적 분석", 대한이비인후-두경부외과학회지, 62(4), pp.228~232 (2019), 대한이비인후과학회[DOI]
- Sireci F, "Tumours of nasal septum : A retrospective study of 32 patients", Int J Environ Res Public Health, 19(3), pp.1713~ (2022)
- Kuruma T, "Clinical study of tumors in the nasal septum", J Surg, 6, pp.1444~ (2021)
- McGuirt WF, "Surgical approaches to malignant tumors of the nasal septum", Laryngoscope, 94(8), pp.1045~1049 (1984)
- Ho YM, "Nasal septum malignancy", ANZ J Surg, 81(7-8), pp.533~536 (2011)
- Lund VJ, "Nose and paranasal sinus tumours : United Kingdom national multidisciplinary guidelines", J Laryngol Otol, 130(S2), pp.S111~8 (2016)
- Young JR, "Malignant tumours of the nasal septum", J Laryngol Otol, 93(8), pp.817~832 (1979)
- Cukurova I, "Squamous cell carcinoma originating from the nasal septal perforation : A rare nasal tumor", Kulak Burun Bogaz Ihtis Derg, 24(3), pp.177~180 (2014)
- Weimert TA, "Carcinomas of the nasal septum", J Laryngol Otol, 92(3), pp.209~213 (1978)
- Janik S, "Impact of anatomic origin of primary squamous cell carcinomas of the nasal cavity and ethmoidal sinus on clinical outcome", Eur Arch Otorhinolaryngol, 275(9), pp.2363~2371 (2018)