Open AccessIntranasal schwannoma in a young woman
Author(s) -
Persaud R.A.P.,
Hajioff D.,
Chevretton E.B.
Publication year - 2004
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/j.1368-5031.2004.00064.x
Subject(s) - medicine , schwannoma , anosmia , meatus , lesion , nasal cavity , nostril , nose , differential diagnosis , surgery , sinusitis , histopathological examination , pathology , disease , covid-19 , infectious disease (medical specialty)
Summary A rare case of a schwannoma arising from the middle meatus in a 24‐year‐old woman is reported. The patient presented with a 12‐month history of right‐sided nasal obstruction, rhinorrhoea, anosmia, headache and recurrent minor nosebleeds. Examination of the right nasal cavity revealed a polypoidal mass. Computerised tomography showed the mass completely occluding the nasal passage with evidence of a secondary maxillary sinusitis. She underwent a complete intranasal excision of the polypoidal mass which was arising from the right middle meatus. The histological features of the lesion were consistent with a schwannoma including diffuse immunoreactivity for S‐100 protein. This case illustrates the need to consider schwannoma, amongst many other lesions, in the differential diagnosis of a unilateral nasal mass and reinforces the established principle of sending all material removed from the nose for histological examination.