A CASE OF NEUROTHEKEOMA OF THE NASAL VESTIBULE

Abstract

A case of neurothekeoma of the right nasal vestibule is reported. The patient was 52-yearold female. She was seen to our clinic on July 12th, 1984, complaining of about eight months duration. There was a painless mass of the right nasal vestibule with a red color at the right nasal vestibule. The diameter of the mass was 10 mm×7 mm. Since the biopsy from the surface of the mass could not give a definite pathological diagnosis, a relatively wide resection of right nasal vestibule including the mass was performed on August 21 st, 1984. The defect of right nasal vestibule was reconstructed with a free skin flap taken from the right breast. The pathological diagnosis of the resected mass was neurothekeoma. The lightmicroscopic findings of this specimen was in keeping with the reports of Gallager and Helwig (1980) and Gartmann (1983). The postoperative recovery was uneventful and there was neither local recurrence nor distant metastasis until the present time (February, 1988). According to Gallager and Helwig, neurothekeoma is a benign cutaneous tumor of neural origin and tends to occur in the central area of the face, arms and shoulders, with a predominance in females. We found no report of neuroth-ekeoma similar to this case in Japanese literature.