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VOLUME 15 , ISSUE 2 ( May-August, 2023 ) > List of Articles

CASE REPORT

Nasal Septal Schwannoma: A Rare Case and Review of Literature

Ranvir Singh, Shirish Saheewala, Deepak Verma, Surender Kumar

Keywords : Case report, Epistaxis, Endoscopy, Nasal schwannoma, Nose block

Citation Information : Singh R, Saheewala S, Verma D, Kumar S. Nasal Septal Schwannoma: A Rare Case and Review of Literature. Int J Otorhinolaryngol Clin 2023; 15 (2):91-93.

DOI: 10.5005/jp-journals-10003-1456

License: CC BY-NC 4.0

Published Online: 21-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Introduction: Nasal septal schwannoma is not so common, presenting with unilateral nasal block age, breathing difficulty, and bleeding nose. Nasal schwannoma is a rare diagnosis accounting for 4% of schwannomas. The diagnosis is made by histopathological examination of specimens and is S100 positive on immunohistochemistry (IHC). Case description: We report a 19-year-old female who presented with unilateral nasal block age, bleeding from the same side, and pain. On clinical examination, a polypoidal mass was seen filling the right nasal cavity and deviated nasal septum (DNS) to the left. Contrast-enhanced computed tomography showed soft tissue density in the right nasal cavity pushing the septum. The patient was taken for endoscopic excision of the mass. Histopathology report confirmed nasal schwannoma, S100 positive. Conclusion: Complete surgical excision is the treatment of choice.


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  1. Mosalleum EM, Phillips VM. Schwannoma of the nasal cavity: A case report and a review. Sudan Med Monit 2015;10:27–30. Available from: https://applications.emro.who.int/imemrf/Sudan_Med_Monit/Sudan_Med_Monit_2015_10_1_27_30.pdf.
  2. Galli J, Imperiali M, Cantore I, et al. Atypical sinonasal schwannomas: A difficult diagnostic challenge. Auris Nasus Larynx 2009;36(4):482–486. DOI: 10.1016/j.anl.2008.11.010.
  3. Hu J, Bao YY, Cheng KJ, et al. Computed tomography and pathological findings of five nasal neurilemmomas. Head Neck Oncol 2012;4:26. DOI: 10.1186/1758-3284-4-26.
  4. Suh JD, Ramakrishnan VR, Zhang PJ, et al. Diagnosis and endoscopic management of sinonasal schwannomas. ORL J Otorhinolaryngol Relat Spec 2011;73(6):308–312. DOI: 10.1159/000331923.
  5. Hasegawa SL, Mentzel T, Fletcher CD. Schwannomas of the sinonasal tract and nasopharynx. Mod Pathol 1997;10(8):777–784. PMID: 9267819.
  6. Kim YS, Kim HJ, Kim CH, et al. CT and MR findings of sinonasal schwannoma: A review of 12 cases. AJNR Am J Neuroradiol 2013;34(3):628–633. DOI: 10.3174/ajnr.A3257.
  7. Kang GC, Soo KC, Lim DT. Extracranial non-vestibular head and neck schwannomas: A ten-year experience. Ann Acad Med Singap 2007;36(4):233–238. PMID: 17483850.
  8. Mey KH, Buchwald C, Daugaard S, et al. Sinonasal schwannoma – A clinicopathological analysis of five rare cases. Rhinology 2006;44(1):46–52. PMID: 16550950.
  9. Gooder P, Farrington T. Extracranial neurilemmomata of the head and neck. J Laryngol Otol 1980;94(2):243–249. DOI: 10.1017/s0022215100088733.
  10. Dhawle MS, Rathod SG, Bhatkule MA, et al. Sinonasal Schwannoma – A case report. J Clin Diagn Res;11(5):ED22–ED23. DOI: 10.7860/JCDR/2017/21532.9851.
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