Nodular fasciitis of the sphenoid sinus presenting with a visual field defect: A case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Nodular fasciitis (NF) is a self-limiting mesenchymal neoplasm. Although it can occur in various parts of the body, its presence within the sphenoid sinus is extremely rare in adults. To the best of our knowledge, only one other case has been reported in the English literature. Because of its rapid growth and potential to mimic malignant tumors, accurate diagnosis and timely treatment are essential. Case Description: We report a case of a 58-year-old man who presented with visual disturbance in the right eye. Computed tomography and magnetic resonance imaging revealed a mass lesion in the sphenoid sinus, with erosion of the bony wall of the right optic nerve canal. The mass was completely removed through an endoscopic transnasal transsphenoidal approach, both for histopathological diagnosis and optic nerve decompression. Pathological examination confirmed the diagnosis of NF. Postoperatively, the patient's visual field improved significantly. Conclusion: This case highlights NF as a rare but important differential diagnosis in patients presenting with visual impairment due to a mass in the paranasal sinus. In symptomatic cases, early surgical intervention should be considered to prevent symptom progression and ensure an accurate diagnosis.
Source: Surgical Neurology International
Authors: Go Matsuoka, Naoko Inoshita, Miku Maeda, Noriaki Tanabe, Hiroaki Kanda, Atsushi Ishida, Haruko Yoshimoto, Hideki Shiramizu, Shozo Yamada
Institution: Saitama Cancer Center
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4413417010