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OtherHead and Neck Imaging

Spheric Mass Beneath the Alar Base: MR Images of Nasolabial Cyst and Schwannoma

S. Iida, T. Aikawa, M. Kishino, T. Sakai, Y. Nakano, M. Okura and M. Kogo
American Journal of Neuroradiology October 2006, 27 (9) 1826-1829;
S. Iida
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T. Aikawa
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M. Kishino
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T. Sakai
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Y. Nakano
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M. Okura
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M. Kogo
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    Fig 1.

    Nasolabial cyst (case 1).

    A, The axial T1-weighted image shows the lesion beneath the left alar base with a well-circumscribed homogeneous isointensity containing a sedimentation level.

    B, The axial T2-weighted image shows the homogeneous hyperintensive lesion, in which the sedimentation level is also observed.

    C, The coronal T2-weighted image shows a bean-shaped homogeneous hyperintensive lesion, which does not expand toward the nasal side but instead expands toward the lateral side.

  • Fig 2.
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    Fig 2.

    Nasolabial cyst (case 2).

    A, The axial T1-weighted image shows the well-circumscribed lesion with a homogeneous isointensity in the anterior nasal fold.

    B, The axial T2-weighted image shows the well-circumscribed lesion with a homogeneous hyperintensity.

    C, The coronal T2-weighted MR image shows the lesion extending toward the nasal cavity along the lateral nasal wall.

    D, The sagittal T2-weighted MR image shows the expansion of the lesion toward the posterior of the nasal cavity, and the lesion appears as a bean shape because of the anterior edge of the nasal base of the maxillary bone.

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    Fig 3.

    Schwannoma (case 3).

    A, The axial T1-weighted image shows the rounded well-circumscribed lesion beneath the right alar base.

    B, The axial T2-weighted images reveals the presence of a homogeneous well-circumscribed rounded lesion beneath the right alar base. The lesion is not attached to the nasal structures.

    C, The excised specimen shows that the tumor consists of a yellowish jellylike mass encapsulated by thin fibrous tissue.

    D, Histopathologically, the tumor is composed of proliferating spindle-shaped cells showing a palisaded arrangement and diagnosed as schwannoma Antoni A type (hematoxylin-eosin, original magnification ×20).

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American Journal of Neuroradiology: 27 (9)
American Journal of Neuroradiology
Vol. 27, Issue 9
October 2006
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Cite this article
S. Iida, T. Aikawa, M. Kishino, T. Sakai, Y. Nakano, M. Okura, M. Kogo
Spheric Mass Beneath the Alar Base: MR Images of Nasolabial Cyst and Schwannoma
American Journal of Neuroradiology Oct 2006, 27 (9) 1826-1829;

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Spheric Mass Beneath the Alar Base: MR Images of Nasolabial Cyst and Schwannoma
S. Iida, T. Aikawa, M. Kishino, T. Sakai, Y. Nakano, M. Okura, M. Kogo
American Journal of Neuroradiology Oct 2006, 27 (9) 1826-1829;
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