Neurofibrome isolé du sinus maxillaire

E.E.M. Nao, A. Tall, M. Ndiaye, C. Ndiaye, M.S. Diouf, A. Thiam, A.B. Djafarou, B.K. Diallo, I.C. Ndiaye, R. Diouf, E.M. Diop
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引用次数: 4

Abstract

Objective

To illustrate the rarity and difficulty diagnosing maxillary sinus neurofibroma through a case report.

Patients and methods

A 35-year-old female consulted our department for left cheek swelling evolving over 6 months, upper gum swelling, and a dental occlusion disorder.

Results

A computed tomography scan showed a tumor of the left maxillary sinus with bone destruction. Histological examination of a biopsy fragment found an in situ carcinoma. A maxillary resection was performed to excise the tumor. Histological examination of the specimen showed a neurofibroma. No sign of recurrence was noted after 8 months of follow-up.

Conclusion

The difficulty diagnosing maxillary sinus neurofibroma is related to its nonspecific clinical and radiological signs. Consequently, the otorhinolaryngologist must keep this rare histological variety in mind within the range of tumors of the paranasal sinuses.

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上颌窦分离神经纤维瘤
目的分析上颌窦神经纤维瘤的罕见性和诊断难度。患者和方法一名35岁女性因左脸颊肿胀超过6个月,上牙龈肿胀和牙齿咬合障碍就诊于我科。结果ct扫描显示左侧上颌窦肿瘤伴骨破坏。切片组织学检查发现原位癌。上颌切除术切除肿瘤。标本的组织学检查显示为神经纤维瘤。随访8个月无复发迹象。结论上颌窦神经纤维瘤的诊断困难与其非特异性的临床和影像学征象有关。因此,耳鼻喉科医生必须在鼻窦肿瘤的范围内记住这种罕见的组织学变化。
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