Endoscopic Sinus Surgery Treatment for a Huge Sinonasal Fibroma

Hsiao Lun Lin, Chi Che Huang, Ta Jen Lee*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

5 Scopus citations

Abstract

Fibromas are rare tumors of the nasal cavity, which may result from progressive inflammation or fibroblastic proliferation of the nasal mucosa. The tumors are usually too small to cause symptoms. We present a 47-year-old woman suffering through right nasal obstruction, purulent rhinorrhea and severe headaches for 6 months. A gray-white, smooth-surfaced, gigantic firm mass occupying the right nostril was found in physical examination. Sinus computed tomography revealed 4 × 3 × 3 cm soft-tissue-density mass in the right nasal cavity and right maxillary sinusitis. The huge sinonasal fibroma measuring 4.5 × 3 × 3-cm in the right posterior ethmoid sinus, which was successfully endoscopically resected. The final diagnosis of fibroma was made histologically, according to light microscopy and immunohistochemical stain examinations, which were important for determining the patient's treatment. After endoscopic resection, her initial signs and symptoms were relieved and no recurrence was noted after 2 years of follow up.

Original languageEnglish
Pages (from-to)233-237
Number of pages5
JournalChang Gung Medical Journal
Volume27
Issue number3
StatePublished - 03 2004
Externally publishedYes

Keywords

  • Endoscopic surgery
  • Fibroma
  • Paranasal sinus

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