Abstract:
A 54-year-old female presented to the otolaryngology (ENT) outpatient department with an eight-month history of unilateral nasal obstruction and headache. There was no change in the sense of smell, rhinorrhoea, facial pain, or associated epistaxis. On examination, there was a large, erythematous mass in the superior aspect of the right nasal cavity, filling the space between the nasal septum, middle, and superior meatus. The rest of the ENT examination was normal. Vital signs were all within the normal range. There was no significant past medical history, and she had tried steroid nasal spray without any benefit. She had a complete resolution of symptoms from surgical intervention, and the mass was confirmed to be an angiofibroma through histopathology. This case report discusses the importance of considering nasopharyngeal angiofibroma as a differential diagnosis for patients presenting with unilateral nasal masses, including female patients, regardless of age.
摘要:
一名54岁的女性出现在耳鼻喉科(ENT)门诊部,有八个月的单侧鼻塞和头痛病史。嗅觉没有变化,鼻漏,面部疼痛,或相关的鼻出血。在检查中,有一个很大的,右侧鼻腔上部红斑肿块,填充鼻中隔之间的空间,中间,和上耳道。其余ENT检查正常。生命体征均在正常范围内。没有明显的既往病史,她尝试了类固醇鼻腔喷雾剂,没有任何好处。她从手术干预中完全缓解了症状,通过组织病理学证实肿块为血管纤维瘤。该病例报告讨论了将鼻咽血管纤维瘤作为单侧鼻腔肿块患者的鉴别诊断的重要性。包括女性患者,不管年龄。