1.Sinonasal angioleiomyoma
Yu Wei Lau ; Vikneswaran Tharumalingam ; Tee Yong Tan ; Ing Ping Tang
The Medical Journal of Malaysia 2016;71(3):154-155
Background: Angioleiomyoma of the nasal cavity is an
extremely rare benign neoplasm. It usually occurs in the
lower extremities. Up to date, only few cases of
angioleiomyoma have been reported. First case of
angioleiomyoma of nasal cavity was reported in 1966. We
report a rare case of angioleiomyoma arising from the right
maxillary sinus.
Case Report: A 43-year-old lady presented with recurrent
epistaxis and right nasal obstruction for two months
duration. Clinical examination revealed a huge right nasal
mass obstructing the right nasal cavity. The tumour was
excised completely via endoscopic endonasal surgical
approach. Histopathological examination confirmed the
tumour is sinonasal angioleiomyoma. Postoperatively, she
recovered well without any recurrence after a year of followup.
Conclusion: This tumour has an excellent prognosis and
recurrence is extremely rare if excised completely.
Angiomyoma
2.Infrasellar Craniopharyngioma of The Posterior Nasal Septum: A Rare Entity
Chiun Kian Chai ; Ing Ping Tang ; Vikneswaran Tharumalingam ; Nurshaline Pauline Hj Kipli
The Medical Journal of Malaysia 2012;67(1):131-132
Objective: To report an unusual location of infrasellar
craniopharyngioma in a peadiatric patient.
Case Report: A six-year-old boy presented with persistent
bilateral nasal obstruction for one year. Clinical examination revealed a posterior choanal mass arising from septum and the finding was confirmed by paranasal sinuses computed tomography scan. He then underwent wide local excision. Histopathological examination confirmed the diagnosis of craniopharyngioma (adamantinomatous type). There were no signs and symptoms of recurrence after a year of followup.
Conclusion: Infracranial craniopharyngioma without sellar
involvement is extremely rare. Persistent nasal obstruction
without endocrine dysfunction is the common presentation.
Radiological imaging is important to diagnose and assess the extent. The mainstay of treatment for infrasellar
craniopharyngioma is surgery. Regular follow up is
mandatory.