A Rare Case of Nasal Glial Heterotopia Presenting as Sphenochoanal Polyp
ABSTRACT
Objective: This paper reports a rare case of nasal glial heterotopia presenting as sphenochoanal polyp. So far, literature has revealed only few cases. Case Report: A 55-year-old woman presented with a 2-month history of left sided nasal obstruction. Rigid endoscopy showed greyish left nasal polyp and anterior discharge. Subsequently, CT scan of the sinuses revealed sphenochoanal polyp filling the left nasal cavity, without signs of expansion, or destruction and no obvious connection with intracranial tissue. Mass was removed endoscopically and histology confirmed glial nature of the mass. Conclusion: Any mass arising from sphenoid sinus should be carefully evaluated on CT scan for existence of fibrous stalk, or connection with brain tissue and needs to be considered in the differential diagnosis of the sphenochoanal mass. Complete surgical excision is the treatment of choice, which is curative.
Objective: This paper reports a rare case of nasal glial heterotopia presenting as sphenochoanal polyp. So far, literature has revealed only few cases. Case Report: A 55-year-old woman presented with a 2-month history of left sided nasal obstruction. Rigid endoscopy showed greyish left nasal polyp and anterior discharge. Subsequently, CT scan of the sinuses revealed sphenochoanal polyp filling the left nasal cavity, without signs of expansion, or destruction and no obvious connection with intracranial tissue. Mass was removed endoscopically and histology confirmed glial nature of the mass. Conclusion: Any mass arising from sphenoid sinus should be carefully evaluated on CT scan for existence of fibrous stalk, or connection with brain tissue and needs to be considered in the differential diagnosis of the sphenochoanal mass. Complete surgical excision is the treatment of choice, which is curative.
Cite this paper
Surda, P. and Hobson, J. (2015) A Rare Case of Nasal Glial Heterotopia Presenting as Sphenochoanal Polyp. International Journal of Otolaryngology and Head & Neck Surgery, 4, 77-80. doi: 10.4236/ijohns.2015.42014.
Surda, P. and Hobson, J. (2015) A Rare Case of Nasal Glial Heterotopia Presenting as Sphenochoanal Polyp. International Journal of Otolaryngology and Head & Neck Surgery, 4, 77-80. doi: 10.4236/ijohns.2015.42014.
References
[1] Ducic, Y. (1999) Nasal Gliomas. Journal of Otolaryngology, 28, 285-287. [2] Uemura, T., Yoshikawa, A., Onizuka, T. and Hayashi, T. (1999) Heterotopic Nasopharyngeal Brain Tissue Associated with Cleft Palate. Cleft Palate-Craniofacial Journal, 36, 248-251.
http://dx.doi.org/10.1597/1545-1569(1999)036<0248:HNBTAW>2.3.CO;2 [3] Hendrickson, M., Faye-Petersen, O. and Johnson, D.G. (1990) Cystic and Solid Heterotopic Brain in the Face and Neck: A Review and Report of an Unusual Case. Journal of Pediatric Surgery, 25, 766-768.
http://dx.doi.org/10.1016/S0022-3468(05)80015-6 [4] Thomson, H.G., Al-Qattan, M.M. and Becker, L.E. (1995) Nasal Glioma: Is Dermis Involvement Significant? Annals of Plastic Surgery, 34, 168-172.
http://dx.doi.org/10.1097/00000637-199502000-00009 [5] Walker Jr., E.A. and Resler, D.R. (1963) Nasal Glioma. Laryngoscope, 73, 93-107.
http://dx.doi.org/10.1288/00005537-196301000-00008 [6] Penner, C.R. and Thompson, L. (2003) Nasal Glial Heterotopia: A Clinicopathologic and Immunophenotypic Analysis of 10 Cases with a Review of the Literature. Annals of Diagnostic Pathology, 7, 354-359.
http://dx.doi.org/10.1016/j.anndiagpath.2003.09.010 [7] Sethi, D.S., Lau, D.P.C., Linchon, W.J. and Chong, V. (1998) Isolated Sphenoethmoid Recess Polyps. Journal of Laryngology Otology, 112, 660-663.
http://dx.doi.org/10.1017/S0022215100141386 [8] Hughes, G.B., Sharpino, G., Hunt, W. and Tucker, H.M. (1980) Management of the Congenital Midline Nasal Mass: A Review. Head and Neck Surgery, 2, 222-233.
http://dx.doi.org/10.1002/hed.2890020308 [9] Bonne, N.X., Zago, S., Hosana, G., Vinchon, M., Van den Abbeele, T. and Fayoux, P. (2012) Endonasal Endoscopic Approach for Removal of Intranasal Nasal Glial Heterotopias. Rhinology, 50, 211-217. [10] Fuse, T., Aoyagi, M., Ota, N., Koike, Y. and Yuda, F. (1992) Heterotopic Brain Tissue of the Soft Palate. ORL Journal for Oto-Rhino-Laryngology and Its Related Specialties, 54, 54-56.
http://dx.doi.org/10.1159/000276260 [11] Grossman, R.I. and Yousem, D. (1994) Neuroradiology: The Requisites. Mosby, St. Louis. [12] Rahbar, R., Resto, V.A. and Robson, C.D. (2003) Nasal Glioma and Encephalocele: Diagnosis and Management. Laryngoscope, 113, 2069-2077.
http://dx.doi.org/10.1097/00005537-200312000-00003
[1] Ducic, Y. (1999) Nasal Gliomas. Journal of Otolaryngology, 28, 285-287. [2] Uemura, T., Yoshikawa, A., Onizuka, T. and Hayashi, T. (1999) Heterotopic Nasopharyngeal Brain Tissue Associated with Cleft Palate. Cleft Palate-Craniofacial Journal, 36, 248-251.
http://dx.doi.org/10.1597/1545-1569(1999)036<0248:HNBTAW>2.3.CO;2 [3] Hendrickson, M., Faye-Petersen, O. and Johnson, D.G. (1990) Cystic and Solid Heterotopic Brain in the Face and Neck: A Review and Report of an Unusual Case. Journal of Pediatric Surgery, 25, 766-768.
http://dx.doi.org/10.1016/S0022-3468(05)80015-6 [4] Thomson, H.G., Al-Qattan, M.M. and Becker, L.E. (1995) Nasal Glioma: Is Dermis Involvement Significant? Annals of Plastic Surgery, 34, 168-172.
http://dx.doi.org/10.1097/00000637-199502000-00009 [5] Walker Jr., E.A. and Resler, D.R. (1963) Nasal Glioma. Laryngoscope, 73, 93-107.
http://dx.doi.org/10.1288/00005537-196301000-00008 [6] Penner, C.R. and Thompson, L. (2003) Nasal Glial Heterotopia: A Clinicopathologic and Immunophenotypic Analysis of 10 Cases with a Review of the Literature. Annals of Diagnostic Pathology, 7, 354-359.
http://dx.doi.org/10.1016/j.anndiagpath.2003.09.010 [7] Sethi, D.S., Lau, D.P.C., Linchon, W.J. and Chong, V. (1998) Isolated Sphenoethmoid Recess Polyps. Journal of Laryngology Otology, 112, 660-663.
http://dx.doi.org/10.1017/S0022215100141386 [8] Hughes, G.B., Sharpino, G., Hunt, W. and Tucker, H.M. (1980) Management of the Congenital Midline Nasal Mass: A Review. Head and Neck Surgery, 2, 222-233.
http://dx.doi.org/10.1002/hed.2890020308 [9] Bonne, N.X., Zago, S., Hosana, G., Vinchon, M., Van den Abbeele, T. and Fayoux, P. (2012) Endonasal Endoscopic Approach for Removal of Intranasal Nasal Glial Heterotopias. Rhinology, 50, 211-217. [10] Fuse, T., Aoyagi, M., Ota, N., Koike, Y. and Yuda, F. (1992) Heterotopic Brain Tissue of the Soft Palate. ORL Journal for Oto-Rhino-Laryngology and Its Related Specialties, 54, 54-56.
http://dx.doi.org/10.1159/000276260 [11] Grossman, R.I. and Yousem, D. (1994) Neuroradiology: The Requisites. Mosby, St. Louis. [12] Rahbar, R., Resto, V.A. and Robson, C.D. (2003) Nasal Glioma and Encephalocele: Diagnosis and Management. Laryngoscope, 113, 2069-2077.
http://dx.doi.org/10.1097/00005537-200312000-00003