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Primary Ectopic Meningioma of Nasal Cavity: A Rare Presentation
Thripthi Rai1, Vijendra S Shenoy1, Pallavi Varshney1
1Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy Of Higher Education, Mangalore, Karnataka 575001 India.
Abstract:
Primary ectopic meningiomas of the nasal cavity are rare tumours and thus, often not diagnosed and treated properly. In this case report we are going to discuss about our experience with a primary nasal meningioma involving bilateral nasal cavity with its diagnosis, management and histopathological features. A 28 year old female presented with nasal obstruction and nasal discharge for the past 1 year and swelling over right side of face for the past 8 months. Patient underwent surgical resection by a combined endoscopic and external approach under general anaesthesia. Histopathological evaluation confirmed the diagnosis of Transitional meningioma WHO grade 1. A repeat nasal endoscopy done one week after surgery, showed no evidence of any residual tumour. Due to ectopic meningiomas being relatively less common one must always exclude the presence of a central meningioma, which makes radiological investigations a must in such cases. As primary extra-cranial meningiomas have an unpredictable behaviour, this study should further aid in diagnosis and management of these tumours.
Insights
This case report details a rare primary nasal meningioma in a young female. Surgical resection was successful, highlighting the importance of radiological investigation for ectopic meningiomas.
Area of Science:
- Neurosurgery
- Otorhinolaryngology
- Pathology
Background:
- Primary ectopic meningiomas of the nasal cavity are rare and frequently misdiagnosed.
- These tumors can present with symptoms like nasal obstruction and facial swelling.
Purpose of the Study:
- To report a case of primary nasal meningioma involving the bilateral nasal cavity.
- To discuss the diagnosis, management, and histopathological features of this rare entity.
Main Methods:
- A 28-year-old female with nasal symptoms underwent surgical resection via a combined endoscopic and external approach.
- Histopathological evaluation confirmed a Transitional meningioma WHO grade 1.
Main Results:
- Complete surgical resection was achieved with no residual tumor evident on post-operative endoscopy.
- The tumor was histopathologically confirmed as a Transitional meningioma WHO grade 1.
Conclusions:
- Radiological investigations are crucial to rule out central meningiomas when ectopic meningiomas are suspected.
- Understanding the unpredictable behavior of extra-cranial meningiomas aids in their diagnosis and management.
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