A Syrian doctor documents the seventh case in the world of a rare fibroid tumor
Dr. Tamar Yard, ENT specialist and surgeon, documented a case of non-typical fibromatosis that had not been registered in Syria, while only six cases of this type were recorded worldwide.
The rare case of a 6-year-old in the University Hospital of Mouwasat in Damascus was documented in a research article published in the internationally-reviewed Egyptian Journal of Ear, Nose and Throat Diseases and on the European German Global Platform (SPRING), for which a number of medical research periodicals follow.
The article included the stages of assessment, diagnosis, treatment and follow-up in the hospital, prepared by Dr. Yard under the supervision of Dr. Ahmed Mustafa, a specialist in nose, ear, head surgery, and a professor at the Faculty of Medicine at Damascus University.
In a statement to SANA, Dr. Yarde explained that the case is rare because it is outside of the nasopharynx and diagnosed in a 6-year-old child who visited the ear clinic at Al-Mouwasat University Hospital last August with a single-sided nasal embolism complaint with snoring and intermittent and gradually increasing epistaxis without any pharmacological precedents.
After clinical evaluation and radiological investigations, the decision was made according to the specialist to the need for surgical management under general anesthetic, qualitative endoscopic surgery and tumor removal, while controlling bleeding by electrocoagulation. The result of the histopathology confirmed the diagnosis of fibrous angioma at the nasal septum, and no recurrence was observed after a year of surgery.
Dr. Yard indicated that it is histological, and considers this tumor to be similar to the fibrous hemangioma in the nasopharynx, which is a common condition that usually affects males only in adolescence for hormonal reasons but is different from it clinically and epidemiologically, stressing that because of the differences, this clinical case poses a challenge in diagnosis and needs to be thoroughly assessed and highly doubted for access to proper diagnosis and management.
The supervisor of the case and research Dr. Ahmed Mostafa, stressed the importance of the research because it documented a rare case since only a few hundred cases of atypical fibrous hemangioma were previously recorded in the medical history, in various anatomical locations, including on the maxillary sinus and on the eye conjunctiva, with only six cases arising at the expense of the nasal septum.
Dr. Mustafa noted the role played by publishing and documenting the rare case in raising the scientific classification of Damascus University and Syrian medical institutions on the one hand and publicizing the scientific activity of doctors on the other hand.
Dr. Mustafa explained that conducting research studies and studying rare cases that require diagnosis and a qualitative treatment measure with resident doctors, graduate students and specialists is a large part of the work of the university and university hospitals in order to familiarize doctors with these rare cases.
Dr. Mustafa pointed out that rare cases are presented in scientific conferences to encourage young doctors to do scientific research, and publishing in an international scientific journal gives an added value to these researches and introduces the effort of medical staff.
Amal Farhat