PMC7236058_01
Gross appearance of the highly vascular excised mass.
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fig1
The patient was then booked for surgery, during which, complete resection of the tumor was achieved endoscopically (Fig. 1).
PMC7236058_02
Intraoperative endoscopic examination revealed a left sided anterior nasal mass originating from the septum with a narrow pedicle.
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fig2
In the operating room, findings were a left nasal mass measuring 1 x 1 cm originating from the nasal septum (Fig. 2), grade 2 adenoid hypertrophy, and confirmed severe right sided nasal septal deviation.
Intraoperative excision was performed using Colorado needle. Hemostasis was maintained and packing was applied.
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The mass was excised (Fig. 3), and adenoidectomy was performed.
PMC7236058_03
PMC7236058_04
Axial and coronal sinus contrast enhanced CT scans showing a heterogeneous strongly enhancing mass involving the middle and lower meatus of the left nasal cavity with preserved architecture of adjacent bony structures. The mass measured 3.2 x 2.2 x 1.5 cm in its maximum dimensions.
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fig4
A contrast enhanced CT scan of the paranasal sinuses was done and showed a heterogeneous strongly enhancing soft tissue mass involving the middle and lower meatus of the left nasal cavity measuring 3.2 x 2.2 x 1.5 cm with preserved architecture of surrounding bony structures (Fig. 4).
Intraoperative endoscopic examination showing a large mass occupying the left nasal cavity.
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fig5
During intraoperative endoscopic examination, a large, erythematous, well-defined, smooth mass was found occupying the left nasal cavity having its origin from the medial surface of the inferior turbinate and the inferior surface of the posterior part of the middle turbinate with no attachment to the nasal septum (Fig. 5).
PMC7236058_05