ABSTRACT
Leiomyosarcomas (LMSs) of the sinonasal tracts are rarely reported. We present a case of an LMS of the left inferior nasal concha, and discuss the management options with review of the literature. A 72-year-old female patient presented with epistaxis. Clinical examination and medical imaging showed a tumour arising from the left inferior nasal concha. An endoscopic resection was performed. Anatomopathological and immunohistochemical analyses revealed the tumour to be a grade 3 LMS with uncertain posterior margins. The patient was a Jehovah's Witness and refused more radical surgical resection due to religious beliefs; therefore, adjuvant conformal radiotherapy (60 Gy) was performed. LMS of the nasal cavity is a rare and locally aggressive tumour with a high tendency of recurrence, requiring radical surgical resection and long-term follow-up. The prognosis of a nasal cavity LMS is better than that of an LMS located in the paranasal sinuses.
Subject(s)
Leiomyosarcoma/diagnosis , Nose Neoplasms/diagnosis , Turbinates , Aged , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Leiomyosarcoma/radiotherapy , Magnetic Resonance Imaging , Nose Neoplasms/radiotherapy , Radiotherapy, Conformal , Tomography, X-Ray ComputedABSTRACT
Although osteomas of the paranasal sinuses are slowly growing bony benign neoplasms, they can cause very important orbital or neurological complications. A 58 year old man's osteoma with sinusitis, abscess and proptosis is reported. A review of the literature is presented and the importance of CT scanner, to appraise the enlargement of the tumor and so to select the best surgical approach, is defined.
Subject(s)
Exophthalmos/etiology , Frontal Sinus/diagnostic imaging , Frontal Sinusitis/etiology , Osteoma/complications , Paranasal Sinus Neoplasms/complications , Abscess/etiology , Humans , Male , Middle Aged , Orbital Diseases/etiology , Osteoma/diagnostic imaging , Osteoma/surgery , Paranasal Sinus Neoplasms/diagnostic imaging , Paranasal Sinus Neoplasms/surgery , Tomography, X-Ray ComputedSubject(s)
Nasopharyngeal Neoplasms/etiology , Age Factors , Asian People , Biopsy , Carcinoma, Squamous Cell/pathology , Ear Diseases/etiology , Humans , Lymphadenitis/etiology , Lymphatic Metastasis , Lymphoma, Large B-Cell, Diffuse/pathology , Nasopharyngeal Neoplasms/complications , Nasopharyngeal Neoplasms/diagnosis , Nasopharyngeal Neoplasms/drug therapy , Nasopharyngeal Neoplasms/genetics , Nasopharyngeal Neoplasms/pathology , Nasopharyngeal Neoplasms/radiotherapy , Neoplasm Metastasis , Nose Diseases/etiology , Sex FactorsABSTRACT
Ceruminoma is a rare form of tumor in man. Most of them are found in the external ear, rarely in the middle ear. The authors review the relevant literature and report a case of ceruminal adenoma arising in the middle ear. The prognosis of these tumors is relatively bad because of their potential malignancy and the tendency for recidivation. Recommendations for treatment are deep excision, postoperative irradiation in malignant types and regular follow-up visits.
Subject(s)
Adenoma/pathology , Cerumen , Ear Neoplasms/pathology , Ear, Middle/pathology , Female , Humans , Middle Aged , Skin Diseases/pathology , Skin Neoplasms/pathologyABSTRACT
The authors related a case of high osteoplasic tracheopathy in a women, 79 years old. The semiology and the different etiopathogenic theories are reviewed. The affection is characterized by the presence in the tracheal sub-mucosa or sometimes the bronchial sub-mucosa of cartilagenous and often bony spaces, which cuases the stenosis of the respiratory lumen. In this related case, the lesions are situated at the level of a tracheal segment compressed by an important goitre. It seems to be caused by a local metaplasia induced by the compression.
