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Linxweiler M, Kühn JP, Wagner M. High-Grade Osteosarcoma of the Maxillary Sinus. Dtsch Arztebl Int 2024; 121:204. [PMID: 38666680 PMCID: PMC11079807 DOI: 10.3238/arztebl.m2023.0088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2024]
Affiliation(s)
| | | | - Mathias Wagner
- Institut für Allgemeine und Spezielle Pathologie, Universitätsklinikum des Saarlandes
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Sakai A, Ebisumoto K, Iijima H, Yamauchi M, Maki D, Fukuzawa T, Okami K. Abscopal effect in maxillary sinus cancer: Insights from two case reports and a literature review. Cancer Rep (Hoboken) 2024; 7:e1994. [PMID: 38351554 PMCID: PMC10864721 DOI: 10.1002/cnr2.1994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 12/07/2023] [Accepted: 01/15/2024] [Indexed: 02/16/2024] Open
Abstract
BACKGROUND The abscopal effect is a rare phenomenon in which localized radiation therapy triggers tumor reduction in nontargeted areas. Although this phenomenon has been observed in various cancer types, it remains infrequent and not fully understood. CASE Two patients with maxillary sinus cancer with distant metastases were treated with radiotherapy after immune checkpoint inhibitor (ICI) therapy. The patients demonstrated abscopal effects following ICI therapy and radiotherapy, showing shrinkage in metastatic areas not directly targeted by radiation. CONCLUSION This report was reviewed to examine the synergistic effects of ICI and radiotherapy and to identify optimal strategies to enhance the abscopal effect in clinical practice. It has also touched on various ongoing debates and clinical trials aimed at understanding and exploiting this effect to improve cancer treatment. The exact mechanisms and optimal treatment protocols remain areas for future research.
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Affiliation(s)
- Akihiro Sakai
- Department of Otolaryngology, Head and Neck SurgeryTokai University, School of MedicineIseharaJapan
| | - Koji Ebisumoto
- Department of Otolaryngology, Head and Neck SurgeryTokai University, School of MedicineIseharaJapan
| | - Hiroaki Iijima
- Department of Otolaryngology, Head and Neck SurgeryTokai University, School of MedicineIseharaJapan
| | - Mayu Yamauchi
- Department of Otolaryngology, Head and Neck SurgeryTokai University, School of MedicineIseharaJapan
| | - Daisuke Maki
- Department of Otolaryngology, Head and Neck SurgeryTokai University, School of MedicineIseharaJapan
| | - Tsuyoshi Fukuzawa
- Department of Radiation OncologyTokai University, School of MedicineIseharaJapan
| | - Kenji Okami
- Department of Otolaryngology, Head and Neck SurgeryTokai University, School of MedicineIseharaJapan
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Sekine M, Goto F, Saito K, Kaneda S, Yamamoto H, Murakami T, Okami K. Localized Maxillary Sinus Papilloma: Management of Incidental Lesion. Tokai J Exp Clin Med 2021; 46:17-21. [PMID: 33835470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 12/02/2020] [Indexed: 06/12/2023]
Abstract
Most maxillary sinus papillomas are confirmed when they have extended beyond the nasal cavity and are rarely found while localized in the maxillary sinus. We experienced two cases of localized papilloma in the maxillary sinus. Case 1 was a 69-year-old man with a localized left maxillary sinus lesion detected during a routine imaging examination. As the lesion was likely to be papilloma, we recommended that the patient undergo diagnostic surgery, which he refused. He experienced bloody rhinorrhea 1 year and 9 months after the first visit, and computed tomography (CT) showed increased lesions and bone destruction. Histological examinations revealed squamous cell carcinoma ex inverted papilloma. He died 5 years after the first visit. Case 2 was a 46-year-old woman in whom positron emission tomography/CT showed a localized right maxillary sinus lesion. Tissue biopsy results indicated oncocytic papilloma. Endoscopic resection was performed later. On an imaging examination, sinonasal papilloma was determined accidentally to be a localized lesion of the maxillary sinus. A detailed interpretation of the CT scan was useful in estimating sinonasal papilloma. Tissue biopsy or diagnostic surgery should be performed when sinonasal papilloma is suspected during appropriate image evaluation.
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Affiliation(s)
- Motoki Sekine
- Department of Otolaryngology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
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Fischer-Szatmári T, Fülöp B, Szakács L, Gyura E, Bella Z, Barzó P. Combined Simultaneous Multiportal Approach via Minimally Invasive Transciliary and Endoscopic Endonasal Approaches for Tumors Invading Both the Skull Base and the Sinonasal Area. World Neurosurg 2021; 148:70-79. [PMID: 33418120 DOI: 10.1016/j.wneu.2020.12.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 12/27/2020] [Accepted: 12/28/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND A combined transcranial and transfacial approach has long been the gold standard for surgical management of large tumors with sinonasal and skull base involvement. The extended endoscopic endonasal approach for such pathologies has its advantages, but it has flaws as well, such as anatomic limitations and more ponderous skull base reconstruction and thus higher risk of postoperative complications. Our primary technique for surgical treatment of these pathologies has been a combination of transfacial and minimally invasive transciliary supraorbital keyhole approaches. With the aim to further minimize invasiveness, potential complications, and unsatisfactory aesthetic outcomes during surgical treatment of large tumors invading both the sinonasal area and the skull base, we abandoned the transfacial approach and simultaneously combined the transciliary supraorbital keyhole approach with the endoscopic endonasal approach. METHODS The well-known microscope-assisted minimally invasive approach via a transciliary supraorbital keyhole craniotomy was combined with the endoscopic endonasal approach. RESULTS Six patients with different histologic types of tumors affecting the sinonasal area and the skull base were operated on. The mean operative time was 3 hours, there were no unexpected intraoperative or postoperative complications, and total tumor removal was achieved in each patient. None of the patients experienced complications associated with the surgery during follow-up. CONCLUSIONS Our combined simultaneous multiportal approach enables total tumor eradication with reduced operative time and is associated with minimal intraoperative and postoperative complications, low mortality rate, and excellent cosmetic results.
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Affiliation(s)
- Tamás Fischer-Szatmári
- Department of Neurosurgery, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary.
| | - Béla Fülöp
- Department of Neurosurgery, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
| | - László Szakács
- Department of Otorhinolaryngology and Head and Neck Surgery, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
| | - Erika Gyura
- Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
| | - Zsolt Bella
- Department of Otorhinolaryngology and Head and Neck Surgery, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
| | - Pál Barzó
- Department of Neurosurgery, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
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Pérez-Sayáns M, Suárez Peñaranda JM, Quintanilla JAS, Chamorro Petronacci CM, García AG, Carrión AB, Vila PG, Sánchez YG. Clinicopathological features of 214 maxillary sinus pathologies. A ten-year single-centre retrospective clinical study. Head Face Med 2020; 16:24. [PMID: 33050926 PMCID: PMC7552481 DOI: 10.1186/s13005-020-00239-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 10/01/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Diagnosis of maxillary sinus pathology must include the clinical radiological study (CRS) and histopathological analysis. The aim of this study is 1) to describe the clinicopathological features of maxillary sinus lesions, obtained successively in a single medical centre over the last 10 years and 2) to determine the sensitivity and specificity for the diagnosis of malignant lesions based exclusively on the CRS. METHODS It is a single-centre observational retrospective clinical study on patients who attended the University Hospital Complex of Santiago de Compostela (CHUS) with sinus pathologies during the period of 2009-2019. RESULTS The sample consisted of 133 men (62.1%) and 81 women (37.9%), with an average age of 46.9 years (SD = 18.8). In terms of frequency, the most frequent pathology was the unspecified sinusitis (44.4%), followed by polyps (18.2%), malignant tumours (9.8%), inverting papilloma (7.5%), fungal sinusitis (4.7%), cysts (3.7%), benign tumours (2.3%), mucocele (2.3%) and other lesions (1.9%). Cysts and benign tumours were diagnosed earliest Vs malignant tumours (65.2 years (SD = 16.1)) were diagnosed the latest (p < 0.001). Based only on the CRS for malignancies, diagnostic indexes were 71.4% sensitivity and 97.9% specificity, with a Kappa value of 0.68 with (p < 0.001). CONCLUSION Maxillary sinus pathology is very varied with therapeutic and prognostic repercussions. CRS is sometimes insufficient and histopathological confirmation is essential.
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Affiliation(s)
- Mario Pérez-Sayáns
- Health Research Institute of Santiago (IDIS), Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, C.P. 15782, Santiago de Compostela, Spain.
| | - José M Suárez Peñaranda
- Pathological Anatomy Service, University Hospital Complex of Santiago (CHUS), C.P. 15782, Santiago de Compostela, Spain
| | - Juan Antonio Suárez Quintanilla
- Area of Human Anatomy and Embryology, Faculty of Medicine and Dentistry, University of Santiago de Compostela, C.P. 15782, Santiago de Compostela, Spain
| | - Cintia M Chamorro Petronacci
- Health Research Institute of Santiago (IDIS), Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, C.P. 15782, Santiago de Compostela, Spain
| | - Abel García García
- Health Research Institute of Santiago (IDIS), Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, C.P. 15782, Santiago de Compostela, Spain
| | - Andrés Blanco Carrión
- Health Research Institute of Santiago (IDIS), Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, C.P. 15782, Santiago de Compostela, Spain
| | - Pilar Gándara Vila
- Health Research Institute of Santiago (IDIS), Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, C.P. 15782, Santiago de Compostela, Spain
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Abstract
INTRODUCTION Primary immunodeficiency diseases (PIDs), a rare group of gene defects with different manifestations, are at great risk of malignancy. The incidence of diffuse large B-cell lymphoma in the sinusoidal tract is quite rare with nasal congestion, stuffiness, and pain in maxillary sinus manifestation. Human serine-threonine kinase 4 (STK4) deficiency affects the immune system with recurrent bacterial and viral infections, mucocutaneous candidiasis, cutaneous warts, skin abscesses, T- and B-cell lymphopenia, and neutropenia. PATIENT CONCERN In this study we describe the infrequent incidence and successful treatment of sinusoidal diffuse large B-cell lymphoma in a STK4 deficient patient with clinical manifestation of severe intractable headaches, unilateral swelling of her face, nasal congestion, stuffiness, and pain in maxillary. DIAGNOSIS Clinical data including headaches, unilateral swelling of face, nasal congestion, stuffiness and pain in maxillary sinus with confirmed histopathology and magnetic resonance imaging finding confirmed sinusoidal diffuse large B cell lymphoma in a STK4 deficient patient. INTERVENTION Six cycles of R-CHOP (rituximab with cyclophosphamide, doxorubicin, vincristine, and prednisolone) were administered and after each cycle, G-CSF support was used. Chemotherapeutic drugs were administered with standard dose and no dose reduction was done during the treatment. IVIG treatment continued during the courses of chemotherapy. OUTCOME The index patient achieved complete response at the end of chemotherapy courses and was in remission for about 8 months afterward, prior to the date of the present report. CONCLUSION PID patient are often at increased risk of malignancies. Sinusoidal diffuse large B-cell lymphoma is quite rare and prognosis is variable. Early attention to patient's manifestation, suitable treatment, and monitoring manifestations caused by PID are critical.
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Affiliation(s)
- Farzaneh Ashrafi
- Internal Medicine Department, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Christoph Klein
- Department of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany
| | - Mohaddese Poorpooneh
- Internal Medicine Department, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Roya Sherkat
- Acquired Immunodeficiency Research Center, Isfahan University of Medical Sciences
| | - Razieh Khoshnevisan
- Acquired Immunodeficiency Research Center, Isfahan University of Medical Sciences
- Immunology Department, Isfahan University of Medical Sciences, Isfahan, Iran
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Abstract
INTRODUCTION Metastatic mesenchymal chondrosarcoma of the spine is a highly unusual disease without standard curative managements yet. The objective of this case report is to present a very rare case of metastatic chondrosarcoma to the spine successfully operated by surgical treatment. The management of these unique cases has yet to be well-documented. PATIENT CONCERNS A 34-year-old woman presented with a 4-month history of continuous and progressive back pain and a 1-month history of radiating pain of bilateral lower extremities. The patient, who had been diagnosed of mesenchymal chondrosarcoma of maxillary sinus for 3 years, received surgical treatment of palliative endoscopic-assisted total left maxillary resection via mini Caldwell-Luc approach, and palliative enlarged resection due to the progress of residual lesions, followed by no adjuvant therapy. Multiple lytic, expanding lesions of the spine and paraspinal region with severe epidural spinal cord compression was identified. DIAGNOSIS CT, MRI and bone scan of spine showed spinal cord compression secondary to the epidural component of the metastatic lesions. Post-operative pathology confirmed the diagnosis of metastatic spinal mesenchymal chondrosarcomas. INTERVENTIONS The patient underwent posterior spinal canal decompression, resection of T12 and L3 lesions, internal fixation of T11-L5 pedicles, and cement augmentation of T12 and L3. OUTCOMES The patient's neurological deficits improved significantly after the surgery, and the postoperative period was uneventful at the 1-year follow-up visit. There were no complications associated with the spinal surgery during the follow-up period. CONCLUSION Metastatic spinal mesenchymal chondrosarcoma, although rare, should be part of the differential diagnosis when the patient presents with back pain and radiculopathy. We recommend the posterior approach for spinal decompression and total resection of the metastatic chondrosarcoma when the tumor has caused neurological deficits or other severe symptoms. Osteoplasty by cement augmentation is also a good choice for surgical treatment in some patients.
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Affiliation(s)
- Shuzhong Liu
- Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences,
| | - Xi Zhou
- Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences,
| | - An Song
- Department of Endocrinology, Key Laboratory of Endocrinology, National Health and Family Planning Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College,
| | - Zhen Huo
- Department of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing, China
| | - Yipeng Wang
- Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences,
| | - Yong Liu
- Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences,
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Janardhanan M, Suresh R, Savithri V, Veeraraghavan R. Extranodal diffuse large B cell lymphoma of maxillary sinus presenting as a palatal ulcer. BMJ Case Rep 2019; 12:bcr-2018-228605. [PMID: 30739092 PMCID: PMC6441260 DOI: 10.1136/bcr-2018-228605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2018] [Indexed: 01/16/2023] Open
Abstract
A multitude of disease processes ranging from periodontitis to malignancies can lead to formation of solitary ulcer on the palate. Hence solitary ulcers of palate can often be a challenging one to diagnose. We report an interesting case of a diffuse large B cell lymphoma of the maxillary sinus which perforated the palatal bone and presented clinically as a palatal ulcer. Initially the lesion manifested as a small ill-defined swelling in the posterior palatal slope in relation to 24and25 which were mobile and hence was erroneously diagnosed as chronic periodontal abscess. This paper is intended to stress the relevance of including non-Hodgkin's lymphoma in the differential diagnosis of solitary palatal ulcers as it may be often misdiagnosed as more common reactive or inflammatory lesions.
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Affiliation(s)
- Mahija Janardhanan
- Department of Oral Pathology and Microbiology, Amrita School of Dentistry, AIMS Campus, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Rakesh Suresh
- Department of Oral Pathology and Microbiology, Amrita School of Dentistry, AIMS Campus, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Vindhya Savithri
- Department of Oral Pathology and Microbiology, Amrita School of Dentistry, AIMS Campus, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
| | - Ravi Veeraraghavan
- Department of Oral Surgery, Amrita School of Dentistry, AIMS Campus, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
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Bollinger SS, DeSautel MG, Spanos WC, Tjarks BJ. Adenoid Cystic Carcinoma of the Maxillary Sinus with Isolated Trigeminal Anesthesia. S D Med 2018; 71:294-298. [PMID: 30005538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Adenoid cystic carcinoma (ACC) is a rare malignant secretory gland tumor. It is characterized by slow growth, long clinical course, local recurrences, and distant metastases. In the sinonasal tract, it most commonly arises in the maxillary sinus. It often presents at an advanced stage with perineural spread (PNS). Our patient presented with left-sided facial numbness without other symptoms. The numbness was localized to the left cheek, left side of nose, and left upper lip. Magnetic resonance imaging (MRI) of the brain revealed an enhancing lesion involving the left maxillary sinus with orbital invasion and posterior extension into the cavernous sinus. Transnasal endoscopic exploration with tissue removal revealed ACC. 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) scan revealed no evidence of distant metastases. Presentation of sinonasal ACC (SNACC) is variable depending on the involved structures. Characteristic PNS with ACC may cause neuropathic symptoms. This case displays a unique presentation of an advanced ACC of the maxillary sinus manifesting as isolated unilateral trigeminal anesthesia without sinonasal symptoms. The patient also failed to demonstrate any ocular or oculomotor symptoms despite extensive involvement of the orbit and surrounding structures. This case highlights the importance of recognizing ACC due to its association with late symptomatic manifestations. It also reinforces the need for clinical diligence with the workup of new onset neuropathic symptoms in the maxillary distribution of the trigeminal nerve.
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Affiliation(s)
| | - Mark Gregory DeSautel
- Department of Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota
| | - William Chad Spanos
- Department of Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota
| | - Brian Joel Tjarks
- Department of Pathology, University of South Dakota Sanford School of Medicine
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Zhang L, Hu C, Zheng X, Wu D, Sun H, Yu W, Wu Y, Chen D, Lv Q, Zhang P, Li X, Liu H, Wei Y. Oncocytic Schneiderian papilloma-associated adenocarcinoma and KRAS mutation: A case report. Medicine (Baltimore) 2018; 97:e11025. [PMID: 29879069 PMCID: PMC5999462 DOI: 10.1097/md.0000000000011025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE Oncocytic Schneiderian papillomas (OSP) are an uncommon type of sinonasal papillomas that arise from the Schneiderian epithelium, accounting for only 6% of all sinonasal papillomas. Malignancies arising in OSP are rare and are almost always described as in situ or invasive squamous cell carcinoma, although mucoepidermoid, small cell carcinoma and sinonasal undifferentiated carcinoma have also been reported. To our knowledge, only 18 such instances have been reported in the medical literature. PATIENT CONCERNS Here, we report the case of an 81-year-old man presenting with a left sinonasal neoplasm, who had undergone 4 operations. The first postoperative pathology revealed a benign nasal polyp. The following several postoperative pathology revealed a novel, human papillomavirus-negative adenocarcinoma with increasing malignant features with each recurrence arising in an OSP. In addition, the most recent recurrences were associated with metastasis of cervical lymph nodes. And after the operation, the patient refused adjuvant radiotherapy. On 6-month follow-up after the last operation, the patient developed an in situ tumor recurrence 1 month after the fourth operation and refused to undergo surgery again. DIAGNOSIS Immunohistochemistry for Ki67, CK7, CK5/6, P53, and P63 showed a progression of malignancy. HPV assay presented the 21 most prevalent HPV types were negative. In addition, KRAS gene exon 2 G12C presented mutation in the OSP-associated adenocarcinoma. INTERVENTIONS During the whole course of the patient's disease, we performed four nasal endoscopic operations. And after the last operation, the patient refused adjuvant radiotherapy and KRAS-targeted therapy. OUTCOMES We are the first to describe adenocarcinoma arising in an OSP. To our surprise, from the first benign neoplasm to the second OSP-associated adenocarcinoma, it went through a long period of 10 years. However, after the adenocarcinogenesis, the differentiation of tumor became worse with the shorter interval of each recurrence. LESSONS Therefore, for elderly patients with unilateral nasal polyps, long-term follow-up is necessary. Once OSP turns into malignant, radical resection should be performed as much as possible to reduce the irritability of tumors.
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Affiliation(s)
- Lichuan Zhang
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Chunhua Hu
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Xiaodan Zheng
- Department of Pathology, Beijing Friendship Hospital
| | - Dawei Wu
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Haili Sun
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Wei Yu
- Department of Pathology, Beijing An Zhen Hospital
| | - Ying Wu
- Department of Pathology, Beijing An Zhen Hospital
| | - Dong Chen
- Department of Pathology, Beijing An Zhen Hospital
| | - Qianwen Lv
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Ping Zhang
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Xiping Li
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
| | - Honggang Liu
- Department of Pathology, Beijing Tong Ren Hospital, Capital Medical University, Beijing, PR China
| | - Yongxiang Wei
- Department of Otolaryngology–Head and Neck Surgery, Beijing An Zhen Hospital, Capital Medical University
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Affiliation(s)
- B Liu
- Department of Radiation Oncology, The First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, China
| | - L Dong
- Department of Radiation Oncology, The First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, China
| | - W Shi
- Department of Radiation Oncology, The First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, China
| | - J Lv
- Department of Radiation Oncology, The First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, China
| | - L Guo
- Department of Pathology, The First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, China
| | - M Liu
- Department of Radiation Oncology, The First Hospital, Jilin University, 71 Xinmin Street, Changchun 130021, China
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12
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Terlinden N, Van Becelaere T, De Dorlodot C, Nollevaux MC. Mucosal cavernous hemangioma of the maxillary sinus: a series of 3 cases. B-ENT 2017; 13:73-78. [PMID: 29557567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023] Open
Abstract
UNLABELLED Mucosal cavernous hemangioma of the maxillary sinus: a series of 3 cases. INTRODUCTION Sott-tissue hemangiomas are benign vascular tumors that are common in the head and neck region and rare in the sinonasal tract. Those originating in the sinus mucosa are extremely rare. We report three cases of non-osseous (mucosal) cavernous hemangioma (CH) originating in the maxillary sinus and successfully managed endonasally and endoscopically. PATIENTS AND METHODS All patients were referred to the ENT outpatient department for a persistent unilateral pansinusitis that was resistant to broad-spectrum antibiotics for one year. All patients complained of unilateral persistent nasal obstruction, and one presented with nosebleeds. The sinus CT scan revealed complete opacification of the maxillary sinus extending into the ethmoid sinus. MR images depicted a heterogeneous signal on both TI- and T2-weighted sequences. In one case, the tumor was highly vascularized and required a preoperative selective arterial embolization. Complete resection via an endonasal endoscopic medial maxillectomy was performed successfully in all cases without severe intraoperative bleeding. The pathologist confirmed the diagnosis of CH. CONCLUSION CH is rare in the sinonasal tract but must be considered in the differential diagnosis of benign and malignant sinonasal tumors in adults. An endonasal endoscopic medial maxillectomy enabled complete tumor removal with optimal control of its extensions and vascular supply. This approach is associated with less morbidity than an open approach. When nosebleeds are present, injection of a contrast agent and a preoperative arterial embolization are recommended.
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Howard SN, Bond WR, Hong IS, Foss RD. Right Maxillary Sinus Sarcomatoid Carcinoma (Sarcomatoid/Spindle Cell Carcinoma). Otolaryngol Head Neck Surg 2016; 137:355-7. [PMID: 17666274 DOI: 10.1016/j.otohns.2007.03.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2007] [Accepted: 03/02/2007] [Indexed: 10/23/2022]
Affiliation(s)
- Scott N Howard
- Department of ENT, Walter Reed Army Medical Center, Washington, DC, USA
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Kim JS, Hong KH, Kim JS, Song JH. Medical therapy of maxillary sinus inflammatory myofibroblastic tumors. Am J Otolaryngol 2016; 37:376-8. [PMID: 27038822 DOI: 10.1016/j.amjoto.2016.01.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2015] [Revised: 01/21/2016] [Accepted: 01/27/2016] [Indexed: 11/16/2022]
Abstract
Inflammatory myofibroblastic tumor (IMT) in the maxillary sinus is a diagnostic challenge. As IMT has various names, it has various findings in magnetic resonance image. Although destructive pattern in computed tomography and hypermetabolism in PET CT suggest malignancy, it is debatable whether it is a tumor or inflammatory lesion. Treatment of IMT usually includes surgery. However, IMT can be dealt with medical treatment according to histologic type and localization. We report a rare case of IMT in the maxillary sinus which is controlled by medical therapy.
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Affiliation(s)
- Jong Seung Kim
- Research Institute of Clinical Medicine Chonbuk National University, Jeonju, Republic of Korea
| | - Ki Hwan Hong
- Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University Hospital, Jeonju, Republic of Korea.
| | - June Sun Kim
- Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University Hospital, Jeonju, Republic of Korea
| | - Jong Hoon Song
- Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University Hospital, Jeonju, Republic of Korea
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15
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Gao Y, Yan X, Lai M, Guo P, Wu Y, Zhu S. T-Staging of maxillary sinus carcinoma: comparison of ultrasonography and computed tomography. Discov Med 2016; 21:469-477. [PMID: 27448783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
RATIONALE AND OBJECTIVES Accurate staging forms the basis for the successful management of maxillary sinus carcinoma. The purpose of this study was to compare the efficacy of ultrasonography and computed tomography (CT) for detection and T-staging of maxillary sinus carcinoma. MATERIAL AND METHODS T-staging of maxillary sinus carcinoma by ultrasonography and CT was studied in 37 patients: 25 with squamous cell carcinoma and 12 with tumors of other histologic types. The sites involved by the tumor were studied, and T-staging was performed using ultrasonography and CT, respectively, according to American Joint Committee classification system for maxillary sinus carcinoma. The accuracy of the two techniques was compared with the surgical and pathological findings. RESULTS The diagnostic accuracy was evaluated considering histopathology as the gold standard. Of these 37 maxillary sinus tumors, 4 were staged T2, 24 were staged T3, 9 were staged T4, and none was staged T1. There was one T2 stage maxillary sinus carcinoma which was not detected by ultrasonography. Five T3 cancers were upstaged and one T3 was downstaged using ultrasonography. One T3 and one T4 were upstaged and one T3 was downstaged using CT. With regard to T staging, the overall accuracy was 81.1% for ultrasonography and 91.8% for CT. There was no statistically significant difference between the pretherapeutic T-staging accuracy of ultrasonography and CT (P=0.219). CONCLUSION Ultrasonography is a sensitive technique for detecting soft tissue involvement and invasion of orbital contents. It can differentiate maxillary sinusitis from tumor with a reasonable accuracy. As of today, ultrasonography cannot replace CT scan, though it can be a valuable adjunct to CT for the initial evaluation and T-staging of maxillary sinus carcinoma.
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Affiliation(s)
- Yong Gao
- Department of Ultrasound, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
| | - Xiao Yan
- Department of Ultrasound, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
| | - Mengyun Lai
- Department of Ultrasound, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
| | - Peng Guo
- College of Stomatology, Guangxi Medical University, Nanning, Guangxi 530021, China
| | - Yafei Wu
- Department of Ultrasound, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
| | - Shangyong Zhu
- Department of Ultrasound, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
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16
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Iwaki LCV, Tolentino ES, Lustosa RM, Jacomacci WP, Casaroto AR, Leite PC, Iwaki-Filho L. Le Fort I osteotomy for the removal of a rare unicystic ameloblastoma lesion in the maxillary sinus. Gen Dent 2016; 64:16-19. [PMID: 27148651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The unicystic ameloblastoma (UA) presents the clinical and radiographic characteristics of a maxillary cyst, making early diagnosis difficult. A 30-year-old man had an extensive, asymptomatic lesion in the right maxillary sinus. Radiographic examinations demonstrated a retained tooth in association with a lesion. Histopathologic examination revealed the presence of UA with intraluminal and mural infiltration and a follicular pattern. Le Fort I access was chosen for enucleation of the lesion and curettage of the site, which were followed by cryotherapy. The treatment provided adequate intraoperative visibility, enabled the preservation of the surrounding bone, and eliminated postoperative complications. Follow-up over 5 years demonstrated no recurrence.
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17
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Zielinski V, Laban S, Tribius S, Schafhausen P, Veldhoen S, Knecht R, Clauditz T, Muenscher A. Management of sinonasal undifferentiated carcinoma with intracerebral invasion: Clinical experience at a single institution and review of the literature. Ear Nose Throat J 2016; 95:23-28. [PMID: 26829682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
Sinonasal undifferentiated carcinoma (SNUC) represents less than 1% of all malignancies. Most of the tumors are diagnosed at an advanced stage, when they have already invaded neighboring tissue structures. We describe the cases of 2 patients with a substantial intracerebral extension of SNUC who were treated at our institution. One was treated with surgery followed by chemoradiotherapy. The other was primarily treated with induction chemotherapy with a combination of docetaxel, cisplatin, and 5-fluorouracil followed by concurrent chemo- and radiotherapy. In view of the rarity of SNUC, no prospective clinical trials have been performed and a gold standard for treatment has not yet been established. Therefore, treatment recommendations are based on level IV evidence. These recommendations are diverse and controversial. In our 2 cases, the patient who was treated with induction chemotherapy had a better outcome. In cases of intracerebral extension, radical surgery is necessary and induction chemotherapy should be considered.
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Affiliation(s)
- Valerie Zielinski
- Department of Otorhinolaryngology-Head and Neck Surgery, Krankenhaus Rudolfstiftung, Juchgasse 25, 1030 Vienna, Austria.
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18
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Mirante JP, Merrell RA, Christmas DA, Yanagisawa E. Endoscopic view of an osteoma of the maxillary sinus. Ear Nose Throat J 2015; 94:470. [PMID: 26670750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Affiliation(s)
- Joseph P Mirante
- Section of Otolaryngology, Halifax Medical Center, Daytona Beach, FL, USA
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19
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Ojha J, Kossak E, Mangat S, Kossak Z. Recurrent pain and swelling associated with impacted maxillary third molar. THE DIAGNOSIS: Squamous cell carcinoma of the maxillary sinus. J Am Dent Assoc 2015; 146:840-4. [PMID: 26514889 DOI: 10.1016/j.adaj.2015.06.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2015] [Revised: 06/04/2015] [Accepted: 06/19/2015] [Indexed: 11/30/2022]
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20
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Dutta M, Ghatak S, Biswas G, Sen A. Primary soft tissue Ewing's sarcoma of the maxillary sinus in elderly patients: presentation, management and prognosis. Singapore Med J 2015; 55:e96-100. [PMID: 24442190 DOI: 10.11622/smedj.2013263] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Nonosseous or soft tissue Ewing's sarcoma is a rare form of Ewing's sarcoma/primitive neuroectodermal tumour that seldom affects the head and neck region. Involvement of the nose and paranasal sinuses is extremely uncommon, with only eight of such patients being reported to date, mostly affecting adolescents and young adults. To our knowledge, this study is the first comprehensive report of primary soft tissue Ewing's sarcoma involving the paranasal sinuses in an elderly patient who successfully completed treatment. We herein discuss the pathogenesis, management and factors affecting the prognosis of this rare group of tumours involving the nose and paranasal sinuses, in relation to the available literature.
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Abstract
A 40-year-old male presented with 2 weeks of left facial pain, nasal congestion, dysphonia, and epistaxis along with left-sided epiphora. CT showed a large infiltrative mass centered in the left maxillary sinus with extension into the left orbit, bilateral paranasal sinuses, nasal cavity, and bilateral enlarged cervical lymph nodes. Biopsy results confirmed adult alveolar rhabdomyosarcoma (RMS). Systemic workup confirmed bilateral cervical lymph node metastasis. Currently the patient is undergoing chemotherapy. We describe a rare case of adult paranasal sinus RMS with orbital invasion.
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22
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Koca T, Başaran H, Arslan D, Sezen D, Çerkeşli ZA, Kılınç Ö, Karaca S, Başsorgun Cİ, Okay HÖ, Demirci M. Prominent response with helical tomotherapy in recurrent ameloblastic carcinoma of maxillary sinus: a case report. Radiat Oncol 2014; 9:157. [PMID: 25027948 PMCID: PMC4108973 DOI: 10.1186/1748-717x-9-157] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2014] [Accepted: 07/11/2014] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Ameloblastoma is a benign but locally aggressive tumor of odontogenic epithelial tissue. Reports of radiotherapy treatment modalities are limited in the literature. CASE PRESENTATION A thirty-five year old male presented with complaints of headache radiating to his face for about six months and impaired vision. The patient's Positron Emission Tomography (PET) showed a mass in the left maxillary sinus extending to the nasal cavity and invading the adjacent tissues. An R2 (macroscopic residual tumor) surgical resection performed to debulk the tumor. Due to the recurrence and residual mass, the patient was treated with helical tomotherapy. At 2 months post-radiotherapy, patient's vision returned to normal. PET scan showed a significant reduction in lesion size 12 months post-radiation. CONCLUSION In cases of ameloblastic carcinoma with, post-surgical recurrence or patients not suitable for surgical treatment, helical tomotherapy can be an effective treatment option.
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Affiliation(s)
- Timur Koca
- Department of Radiation Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | - Hamit Başaran
- Department of Radiation Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | - Deniz Arslan
- Department of Medical Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | - Duygu Sezen
- Department of Radiation Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | - Zümrüt Arda Çerkeşli
- Department of Radiation Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | - Özlem Kılınç
- Department of Radiation Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | - Sibel Karaca
- Department of Radiation Oncology, Regional Training and Research Hospital, Erzurum, Turkey
| | | | - Hilmi Önder Okay
- Regional Training and Research Hospital, Clinic of Neurosurgery, Erzurum, Turkey
| | - Münir Demirci
- Regional Training and Research Hospital, Clinic of Nuclear Medicine, Erzurum, Turkey
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23
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Felix DH, Luker J, Scully C. Oral medicine: 17. Radiolucencies and radio-opacities. D. Antral disease. ACTA ACUST UNITED AC 2014; 41:370-2. [PMID: 24930260 DOI: 10.12968/denu.2014.41.4.370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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24
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Karun V, Mishra AK, Saikhedkar R. A rare case of recurring calcifying epithelial odontogenic cyst in the maxillary sinus: a case report and literature review. Gen Dent 2013; 61:e26-e29. [PMID: 24064174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Calcifying epithelial odontogenic cyst (CEOC) is an odontogenic cyst with epithelial lining. CEOC is a rare entity that occurs in a wide age range, does not show any gender predilection, and accounts for only 1% of all jaw cysts. The lesion generally occurs in the region anterior to maxillary and mandibular molars and either intraosseously or extraosseusly. This entity might present as a cystic or solid lesion. Enucleation is the recommended treatment for a simple, unicystic CEOC. A case of recurring CEOC in the right maxilla antrum is presented here. The patient presented to the authors after postsurgical recurrence. The case was evaluated thoroughly, and the cyst was resolved.
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25
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Papierska L, Ćwikła JB, Misiorowski W, Rabijewski M, Sikora K, Wanyura H. Unusual case of phosphaturic mesenchymal tumor. Pol Arch Med Wewn 2013; 123:255-256. [PMID: 23722193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Lucyna Papierska
- Department of Endocrinology, Medical Center for Postgraduate Education, Warszawa, Poland.
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26
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Ansari M, Guo S, Fakhri S, Citardi MJ, Blanco A, Patino M, Buryanek J, Amato R, Karni R, Brown RE. Sinonasal undifferentiated carcinoma (SNUC): morphoproteomic-guided treatment paradigm with clinical efficacy. Ann Clin Lab Sci 2013; 43:45-53. [PMID: 23462605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Sinonasal undifferentiated carcinoma (SNUC) is a rare and highly malignant tumor that occurs in the nasal cavity and/or paranasal sinuses. Prognosis is poor despite multimodality treatment. Currently, there is no optimal standard of treatment, partially due to a lack of research defining the biology of such tumors. This report discusses two SNUC cases where patients received a novel chemotherapeutic approach using cisplatin, etoposide, Adriamycin (doxorubicin), metformin, and adjuvant melatonin therapies based on morphoproteomic-guidance, followed by consolidation with chemoradiation therapy. This resulted in excellent and objective tomographic and magnetic resonance imaging and clinical responses including complete responses in the induction phase utilizing morphoproteomic-guided therapies. Later, endoscopic excision of the tumor bed failed to reveal any residual tumor. Morphoproteomics helped to define the biology of these SNUC tumors and provided targets for the agents employed, creating a new treatment paradigm for such tumors. This treatment regimen poses a new effective regimen to treat SNUC.
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Affiliation(s)
- Maria Ansari
- Division of Oncology, Department of Internal Medicine, University of Texas Medical School at Houston and Memorial Hermann Cancer Center, Houston, TX 77030, USA
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Abstract
Adenoid cystic carcinoma (ACC) is a rare malignant neoplasm, arising from glandular tissues, found mainly in the head and neck. Generally, it presents insidiously but can behave aggressively making its course unpredictable. Surgery and adjuvant radiotherapy continue to be the cornerstone for its treatment. ACC remains extremely difficult to treat. The authors report a case of a 37-year-old woman with bloody rhinorrhea for 6 months. She was diagnosed with a left nasal cavity lesion that was biopsied, and the anatomopathological result showed ACC. The patient was submitted to a left extended maxillectomy, microsurgical reconstruction and radiotherapy.
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Affiliation(s)
| | - Hugo Sequeira
- Department of Plastic, Reconstructive and Maxillofacial Surgery, CHVNG/E, EPE, Gaia, Portugal
| | - Gustavo Coelho
- Department of Plastic, Reconstructive and Maxillofacial Surgery, CHVNG/E, EPE, Gaia, Portugal
| | - Horácio Costa
- Department of Plastic, Reconstructive and Maxillofacial Surgery, CHVNG/E, EPE, Gaia, Portugal
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28
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Lee WJ, Kim DS, Kang SW, Yi WJ. Material depth reconstruction method of multi-energy X-ray images using neural network. Annu Int Conf IEEE Eng Med Biol Soc 2012; 2012:1514-1517. [PMID: 23366190 DOI: 10.1109/embc.2012.6346229] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
With the advent of technology, multi-energy X-ray imaging is promising technique that can reduce the patient's dose and provide functional imaging. Two-dimensional photon-counting detector to provide multi-energy imaging is under development. In this work, we present a material decomposition method using multi-energy images. To acquire multi-energy images, Monte Carlo simulation was performed. The X-ray spectrum was modeled and ripple effect was considered. Using the dissimilar characteristics in energy-dependent X-ray attenuation of each material, multiple energy X-ray images were decomposed into material depth images. Feedforward neural network was used to fit multi-energy images to material depth images. In order to use the neural network, step wedge phantom images were used for training neuron. Finally, neural network decomposed multi-energy X-ray images into material depth image. To demonstrate the concept of this method, we applied it to simulated images of a 3D head phantom. The results show that neural network method performed effectively material depth reconstruction.
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Affiliation(s)
- Woo-Jin Lee
- College of Medicine, BK21, Seoul National University, South Korea
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29
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Bist SS, Varshney S, Kumar R, Bhagat S, Gupta N. Juvenile aggressive cemento-ossifying fibroma of the sinonasal tract: case report. Ear Nose Throat J 2011; 90:E3-E7. [PMID: 22109932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Cemento-ossifying fibroma (COF) is a rare nonodontogenic tumor of the periodontal membrane that arises from the mesodermal germ layer. Clinically, these lesions are usually asymptomatic, slowly growing, and well circumscribed. However, they have demonstrated an aggressive course of development in a very small number of cases, particularly in younger patients. Surgical management via wide local excision is necessary because COF is notorious for recurrence, particularly lesions in the paranasal sinuses. We describe a case of juvenile aggressive COF of the sinonasal tract in a 12-year-old boy. This tumor presented with various overlapping clinical, radiologic, and pathologic features, which led to initial confusion and a diagnostic dilemma. We also discuss the radiologic interpretation of COF, which can be helpful in making the diagnosis and in selecting the appropriate surgical approach in a growing child.
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Affiliation(s)
- Sampan Singh Bist
- Department of Otorhinolaryngology-Head and Neck Surgery, Himalayan Institute of Medical Sciences, Jolly Grant, Doiwala, Dehradun 248 140, Uttarakhand, India.
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30
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Friedrich RE, Zustin J. Ameloblastoma of the maxillary sinus 11 years after extirpation of extensive dentigerous cysts and dystopic wisdom tooth. In Vivo 2010; 24:567-570. [PMID: 20668325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
We present the case of a 36-year-old patient with ameloblastoma of the maxillary sinus. The history of the patient was extraordinary with respect to the diagnosis of an extensive odontogenic cyst of this sinus with a maxillary wisdom tooth located far from the region of origin. Both cyst and tooth had been completely extirpated more than 10 years prior to the current tumor diagnosis. Diagnosis of ameloblastoma was based on routinely processed specimen and supported by immunohistochemical markers. Localization and extension of both cyst and neoplasm support the assumption that both entities arose from the same area. Long-term follow-up is recommended in the treatment of odontogenic cysts.
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Affiliation(s)
- Reinhard E Friedrich
- Oral and Maxillofacial Surgery, Eppendorf University Hospital, University of Hamburg, Martinist. 52, D-20246 Hamburg, Germany.
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31
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32
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Nortjé CJ. General practitioner's radiology case 80. Myeloma. SADJ 2010; 65:73. [PMID: 20527580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- C J Nortjé
- Faculty of Dentistry, University of the Western Cape.
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33
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Isler SC, Demircan S, Soluk M, Cebi Z. Radiologic evaluation of an unusually sized complex odontoma involving the maxillary sinus by cone beam computed tomography. Quintessence Int 2009; 40:533-535. [PMID: 19626225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
As a group, odontomas are the most common odontogenic neoplasms. This case report illustrates the benefits of cone beam computed tomography, in terms of treatment planning and surgical technique, to localize a large maxillary odontoma and accurately establish its relationship with the maxillary sinus and molar.
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Affiliation(s)
- Sabri Cemil Isler
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
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34
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Basu S, Houseni M, Alavi A. (18)F-FDG-PET in restaging primary maxillary sinus melanoma with isolated gall bladder metastasis. Hell J Nucl Med 2009; 12:170. [PMID: 19675875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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35
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Megat Shiraz MA, Jong YH, Primuharsa Putra SH. Extramedullary plasmacytoma in the maxillary sinus. Singapore Med J 2008; 49:e310-e311. [PMID: 19037537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Extramedullary plasmacytoma is a rare malignant plasma cell tumour. We report an extremely aggressive case of extramedullary plasmacytoma of the right maxillary sinus, which had metastasised to the brain and rib. A 56-year-old man presented with recurrent epistaxis and acute anaemia. Nasendoscopy revealed a medialised medial wall of the right maxilla and a mass occupying the whole nasopharynx. Magnetic resonance imaging revealed a right maxillary tumour with extension to the ipsilateral nasal cavity, nasopharynx, right sphenoid and ethmoidal sinuses. There was an extra-axial brain metastasis. There were metastases to the right parietal region and left eighth rib. Histopathology examination of the maxillary mass revealed abundant plasma cells with kappa-chain restriction. He was planned for four cycles of chemotherapy. Unfortunately, in view of the advanced stage of disease, he succumbed to his disease during the first cycle of chemotherapy.
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Affiliation(s)
- M A Megat Shiraz
- Department of Otorhinolaryngology, Head & Neck Surgery, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
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36
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Oztürk K, Akbay E, Cenik Z. A case of invasive meningioma involving the maxillary sinus. Kulak Burun Bogaz Ihtis Derg 2008; 18:312-315. [PMID: 19155678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Meningiomas account for nearly 15% of primary brain tumors, but extracranial meningiomas are very rare. We presented a case of invasive maxillary sinus meningioma. A 50-year-old man presented with facial tenderness and severe pain in the left cheek. He had a prior surgery for a meningioma in the left frontal lobe eight months before. Physical examination and computed tomography showed a mass in the left maxillary sinus. Histopathological result of the biopsy obtained via the Caldwell-Luc approach was invasive meningioma. The mass was removed with the sinus mucosa. The histology of the resected specimen was compatible with invasive angioblastic meningioma. Postoperative radiotherapy was administered because of residual intracranial tumor. No recurrence was detected over an 11-month follow-up period.
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Affiliation(s)
- Kayhan Oztürk
- Department of Otolaryngology, Meram Medicine Faculty of Selçuk University, Konya, Turkey
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37
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Kawabata M, Yoshifuku K, Sagara Y, Kurono Y. Ewing's sarcoma/primitive neuroectodermal tumour occurring in the maxillary sinus. Rhinology 2008; 46:75-78. [PMID: 18444498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A 12-year-old boy complained of swelling of the left cheek. Fiberscopic examination revealed the presence of a soft reddish mass in the middle meatus of the left nostril. CT scan showed a large mass completely filling the left maxillary sinus. The lesion originated from the maxillary sinus and extended to the middle nasal meatus; bone destruction and invasion of the subcutaneous tissue of the cheek were noted. T2-weighted MRI images revealed a heterogeneous signal in the left maxillary sinus. Under general anaesthesia, biopsies were obtained through an intraoral incision. On pathology, atypical cells containing irregular nuclei with scanty cytoplasm were noted. The tumour cells were strongly positive for CD99 and reacted weakly with NSE however the cells were negative for synaptophysin, LCA and cytokeratin on immunohistochemical examination. Based on these findings, the tumour was diagnosed as a Ewing's sarcoma/primitive neuroectodermal tumour. The patient was treated with radiotherapy and combination chemotherapy; subsequently, the tumour's size decreased markedly. After 20 months of follow-up, the patient showed no evidence of local tumour growth or metastasis.
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Affiliation(s)
- Masaki Kawabata
- Department of Otolaryngology Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Japan.
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38
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Ryan MW, Cunningham S, Xiao SY. Maxillary sinus melanoma as the presenting feature of Carney complex. Int J Pediatr Otorhinolaryngol 2008; 72:405-8. [PMID: 18082273 DOI: 10.1016/j.ijporl.2007.10.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2007] [Revised: 10/24/2007] [Accepted: 10/26/2007] [Indexed: 11/17/2022]
Abstract
We present a case of a large maxillary sinus tumor in a 6-year-old boy, immunohistologically indistinguishable from a malignant melanoma, that led to the diagnosis of Carney complex. The Carney complex is an autosomal dominant disorder characterized by mucocutaneous pigmented lesions and neoplasia of multiple endocrine glands and is usually due to an inactivating mutation of the gene for the protein kinase A regulatory subunit 1A. The Carney complex has characteristic head and neck manifestations that can point to the diagnosis of this potentially lethal condition.
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Affiliation(s)
- Matthew W Ryan
- Department of Otolaryngology, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9035, United States.
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39
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Abstract
Subcutaneous tissue gives rise to numerous lesions such as lipoma, the most common benign soft tissue tumors. Lipoma is seen only extremely rarely in osseous units. In addition, craniofacial involvement of intraosseous lipoma may be misdiagnosed as a fibroosseous tumour such as fibrous dysplasia. Here, we present a case of an intraosseous lipoma obviously destroying and invading the maxillary bone.
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Affiliation(s)
- Afsin Uysal
- Ankara Training and Research Hospital, 1st Plastic and Reconstructive Surgery Clinic, Ankara, Turkey
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40
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Sheikh HY, Chakravarthy RP, Slevin NJ, Sykes AJ, Banerjee SS. Benign schwannoma in paranasal sinuses: a clinico-pathological study of five cases, emphasising diagnostic difficulties. J Laryngol Otol 2007; 122:598-602. [PMID: 17705894 DOI: 10.1017/s0022215107000527] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVES To highlight the difficulty in making a correct diagnosis of benign schwannoma in the paranasal region, to raise awareness of this rare condition, and to suggest the most appropriate treatment. METHOD Retrieval of cases retrospectively from archives of the histopathology department of a major UK cancer centre with central review of all cases. RESULTS Five cases were identified since 1990 and clinical and pathological features are summarised. Median follow up of patients was 8.1 years. Radiological appearances of local bone invasion and histological features of tumour unencapsulation and hypercellularity could give the mistaken impression of malignant disease and lead to unnecessary over-treatment. CONCLUSION Central pathological review and clinical awareness is required. Although local recurrence can occur, the prognosis is excellent. The treatment of choice is local excision. Radiotherapy can be considered, but in most cases it would incur unnecessary morbidity.
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Affiliation(s)
- H Y Sheikh
- Department of Clinical Oncology, Christie Hospital NHS Trust, Manchester, UK.
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41
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Balaji R, Ramachandran K, Somanathan T, Nair SG, Krishnakumar AS, Venugopal M. Breast Metastases in an Adolescent Woman with Alveolar Rhabdomyosarcoma of the Maxillary Sinus. Breast J 2007; 13:426-8. [PMID: 17593053 DOI: 10.1111/j.1524-4741.2007.00456.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Ravikanth Balaji
- Division of Imageology, Regional Cancer Centre, Trivandrum, Kerala, India.
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42
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Smith LM, Osborne RF. Solitary fibrous tumor of the maxillary sinus. Ear Nose Throat J 2007; 86:382-3. [PMID: 17702313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023] Open
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43
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Infante-Cossio P, Hernandez-Guisado JM, Acosta-Feria M, Carranza-Carranza A. Cementoblastoma involving the maxillary sinus. Br J Oral Maxillofac Surg 2007; 46:234-236. [PMID: 17467126 DOI: 10.1016/j.bjoms.2007.03.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2007] [Indexed: 10/23/2022]
Abstract
A cementoblastoma is rare, benign, and of odontogenic ectomesenchymal origin, usually associated with the roots of the first mandibular tooth. We present an unusual case of one that involved the roots of the first and second maxillary molars, extended into the maxillary sinus, and was associated with a displaced unerupted third molar. The initial presentation was misleading and resulted in inadequate management. The definitive diagnosis had not been established until 2 years later.
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Affiliation(s)
- P Infante-Cossio
- Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain.
| | - J M Hernandez-Guisado
- Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain
| | - M Acosta-Feria
- Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain
| | - A Carranza-Carranza
- Department of Pathology, Virgen del Rocio University Hospital, Manuel Siurot Av, 41013-Sevilla, Spain
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Abstract
Paranasal sinuses and nose metastasis are very uncommon tumors, about 50 have been reported. Renal cell carcinoma is the primary neoplasm which most frequently metastasizes in the nasosinusal region, followed by breast and lung. Symptoms are unspecific, but the epistaxis constitutes the most common sign due to the significant vascularizations of the tumor. Prognosis is poor. The survival rate fluctuates between 15-30% at 5 years. Surgery is the elective treatment.
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Affiliation(s)
- B Torres Muros
- Servicios de Otorrinolaringología, Hospital Clinico Virgen de la Victoria, Málaga.
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45
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Theodorou SJ, Theodorou DJ, Sartoris DJ. Imaging characteristics of neoplasms and other lesions of the jawbones. Clin Imaging 2007; 31:120-6. [PMID: 17320779 DOI: 10.1016/j.clinimag.2006.12.021] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2006] [Accepted: 12/05/2006] [Indexed: 10/23/2022]
Abstract
Obtaining an accurate diagnosis of odontogenic tumor-mimickers (nonodontogenic lesions masquerading as odontogenic lesions) and tumor-like lesions of the jawbones can be difficult and requires a multidisciplinary approach. Lack of familiarity with these disease processes may lead to uncertainty and errors in diagnosis, which increase the possibility of errors in treatment. Radiologists should be aware of the imaging appearances of lesions affecting the jawbones in order to provide a complete differential diagnosis and to guide clinicians in proper patient treatment. The morphologic characteristics of tumors and tumor-like lesions of the jawbones may provide key diagnostic information regarding the aggressive or nonaggressive biologic behavior of such lesions. In addition to imaging findings, thorough physical examination and, often, histologic analysis of biopsy specimens are required.
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Affiliation(s)
- Stavroula J Theodorou
- Department of Radiology, School of Medicine, University of California San Diego Medical Center, San Diego, CA, USA
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46
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Anil S. Solitary plasmacytoma of the maxilla--a case report and review of the literature. Gen Dent 2007; 55:39-43. [PMID: 17333965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Plasma cell neoplasms have been classified as multiple myeloma, solitary plasmacytoma, and extramedullary plasmacytoma. The solitary plasmacytoma of the maxilla is a rare condition that focuses solely on myelomatous tissue and is not disseminated to other parts of the skeleton. Some lesions appear to be benign and do not recur after complete removal, while others are locally invasive. The dense plasma cell infiltration that commonly is associated with inflammatory lesions within the oral tissues makes diagnosing plasmacytoma at this site problematic. This article presents a case of solitary plasmacytoma in the maxilla. Radiographic examination revealed an osteolytic lesion over the right maxillary bone, invading the maxillary sinus. A CT scan showed that the tumor mass occupied the right maxillary sinus and the lateral wall of the nasal cavity. The tumor cells were composed of densely packed, round, polygonal cell structures that were scattered in relatively sparse stoma. The neoplastic cells had a large, single eccentric nucleus, resembling typical plasma cells. The clinical, histopathological, and radiological features of solitary plasmacytoma are discussed.
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Affiliation(s)
- Sukumaran Anil
- Department of Periodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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47
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Torres Muros B, Bonilla Parrilla R, Solano Romero JR, Rodríguez Baró JG, Verge González J. [Metastasis in maxilar sinus as only manifestation of disseminate renal adenocarcinoma]. An Otorrinolaringol Ibero Am 2007; 34:231-6. [PMID: 17725166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Paranasal sinuses and nose metastasis are very uncommon. About 50 have been reported. Renal cell carcinoma is the primary neoplasm which most frequently metastasizes in the nasosinusal region, followed by breast and lug. Symptoms are unspecific, but the epistaxis constitutes the most common sign due to the significant vascularizations of the tumor. Prognosis is poor. The survival rate fluctuates between 15-30% at 5 years. Surgery is the elective treatment.
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48
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Balderrama Caballero DH, de García Hombre AM, Llorente Suárez R, Martín Salvago MD, Rodríguez Adrados F. [Malignant mucous primary sinonasal melanoma. A clinic case]. An Otorrinolaringol Ibero Am 2007; 34:273-80. [PMID: 17725171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The melanomas are unusual tumours with a high mortality. The mucosal malignant melanoma type supposes loss than 1% of the total of melanoma. The initial symptoms are unspecific and the regional metastasis are rare. The surgical approach it's the most effective treatment complemented with radiotherapy and or chimiotherapy. We present the case of primary nasal mucosal malignant melanoma and review the litterature of this disease.
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Abstract
Craniofacial osteomas may be located either superficially or intraosseously on any bone of the cranium or face or within a paranasal sinus. Osteomas within the paranasal sinus account for 0.01% to 0.43% of patients; of these, up to 80% occur in the frontal sinus. An osteoma of maxillary sinus is extremely rare. We describe a rare case of osteoma of a 56-year-old Asian woman in the maxillary sinus.
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Affiliation(s)
- Wonse Park
- Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Korea
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50
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Affiliation(s)
- Omer Onbas
- Department of Radiology, School of Medicine, Atatürk University, Erzurum, Turkey
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