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DOI: 10.1055/s-0039-1686755
Unclear paranasal bilateral tumors of the nasal root – a case report
Autoren
In the area of the nasal root there are both, benign and malign tumors. While occurrences for infants and toddlers are primarily characterized by extracerebral gliomas or cephaloceles, skin tumors, which mainly occur unilaterally, are often observed on adults (e.g., pilomatricoma). Moreover, osteomata can develop on an inflammatory basis. In addition, granulomatous diseases such as Wegner's disease or sarcoidosis play an important role.
In our clinic we saw a 54-year-old patient who consulted us having bilateral tumors of the nasal root, which had existed for several weeks. The lesions were indolent, rough, spherical, palpable and well moveable below the skin level. An epiphora was denied by the patient. The patient was wearing glasses for many years, so the changes were perceived as severely disturbing. A CBCT of the paranasal sinuses and an MRI of the head could not reliably rule out contact with the nasolacrimal duct. A complete and unproblematic extirpation of the lesion was performed intraoperatively. Histologically, sarcoidosis could be detected. Further diagnosis and therapy was then carried out in a special clinic.
Based on the described case study, differential diagnoses of tumors of the nasal root are presented in this work.
Publikationsverlauf
Publikationsdatum:
23. April 2019 (online)
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York