Nasal septal schwannoma

Abstract

Schwannomas are benign, encapsulated and slowly growing neoplasms arising from schwann cells of the sheath of the peripheral nerves. In the head and neck region, schwannomas are often encountered as acoustic neuromas. A nasal septal mass in a 65-year-old male patient was resected en-bloc which was reported to be a schwannoma. No recurrence was observed in the fourth postoperative year. In conclusion, although rarely encountered, nasal septal schwannoma should be considered in the differential diagnosis of nasal masses. Even though total excision of the mass will be sufficient for the prevention of recurrence, the tumor should be sent to pathology for a definite histopathological diagnosis. Since malignant transformation has been reported, long-term follow-up is mandatory.

Keywords

• Schwannoma, nasal septum

Burun septum schwannomu

Öz

Schwannomlar periferik sinir kılıfının schwann hücrelerinden kaynaklanırlar ve yavaş büyüme gösteren sıklıkla kapsüllü benign neoplazmlardır. Baş boyun bölgesinde sıklıkla akustik nöroma olarak görülmektedir. Nazal septum kaynaklı burun kitlesi olan 65 yaşındaki erkek hastaya septoplasti operasyonu yaparak kitlenin tamamını çıkarttık. Kitle patolojisi schwannom olarak rapor edilen hastada operasyon sonrası dört yıllık dönemde nüks görülmedi. Sonuç olarak nazal kitlelerde ender olarak görülse de ayırıcı tanıda schwannomlar göz önünde tutulmalıdır. Kitlenin total çıkarımı sonrası nüks görülmese de histopatolojik olarak tanı konulmalı ve malign dönüşüm bildirildiği için hasta uzun dönem takip edilmelidir.

Anahtar Kelimeler

• Schwannom, burun septumu

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14. Please cite this article as: Yılmaz HB, Karabulut MH , Ulusoy S, Çelebi Ş. Nasal septal schwannoma. J Med Updates 2014;4(2):77-80.