2025 Volume 71 Issue 1 Pages 22-27
The patient is a woman in her 70s. She was referred to our hospital with the chief complaint of nasal obstruction. An intranasal examination revealed a hemorrhagic mass in the left nasal cavity. A biopsy was performed on the intranasal tumor, and a diagnosis of nasal cavity cancer was made. During the initial surgery, when the intranasal tumor was grasped, it was unintentionally removed entirely and the surgery had to be terminated without confirming its root. Two years after the initial resection, a stalk tumor was identified in the contralateral right nasal septum. A biopsy revealed that the lesion was recurrent nasal cancer. Therefore, the patient underwent revision surgery with nasal septal resection, with an adequate margin of safety toward the nasal septum. Pathology results were consistent with recurrence and were negative for malignancy at the resection margins. The patient was followed-up without postoperative radiation therapy. Three years have passed since the reoperation, and the patient is alive without any disease. In recent years, the pursuit of minimally invasive treatment has become a major theme in medicine. Currently, nasal septal cancer is a good indication for nasal endoscopic surgery.
