Intra-nasal mass presenting with Cushing's syndrome and CSF rhinorrhea: A case report
Philippine Journal of Surgical Specialties
;
: 20-24, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-959824
ABSTRACT
@#<p style="text-align justify;">This is a case of a 47 year-old female presenting with typical Cushingoid appearance and CSF rhinorrhea. MRI revealed a 4.4 cm x 2.9 cm x 4.5 cm enhancing intranasal mass with evidence of erosion of the left cribriform extending to the left anterior cranial fossa. Dexamethasone suppression test yielded elevated cortisol level. Endoscopic nasal biopsy done showed a round cell tumor positive for ACTH, synaptophysin, chromogranin A, and S-100. Patient subsequently underwent endoscopic endonasal excision of left intranasal mass with creation of pericranial flap for repair of CSF leak. This report is presented to discuss a rare case of ACTH secreting esthesioneurblastoma including its diagnostic challenges and surgical options for repair of anterior cranial fossa defect to address CSF leak particularly by means of a vascularized pericranial flap.</p>
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Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Colgajos Quirúrgicos
/
Dexametasona
/
Hidrocortisona
/
Nariz
/
Rinorrea de Líquido Cefalorraquídeo
/
Sinaptofisina
/
Hormona Adrenocorticotrópica
/
Fosa Craneal Anterior
/
Endoscopía
/
Cromogranina A
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Philippine Journal of Surgical Specialties
Año:
2017
Tipo del documento:
Artículo
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