Recurrent adenocarcinoma of the sinonasal tract
- Resource Type
- Authors
- Benito Ramos; Antonio Gómez; Raquel Villar; Manuel Acosta; Juan José Haro
- Source
- Oral and Maxillofacial Surgery. 17:155-158
- Subject
- Reoperation
Nasal cavity
Pathology
medicine.medical_specialty
Maxillary sinus
Nose Neoplasms
Adenocarcinoma
Turbinates
Surgical Flaps
Paranasal Sinuses
Biopsy
Maxilla
medicine
Humans
Neoplasm Invasiveness
Sinus (anatomy)
Aged
Salivary gland
medicine.diagnostic_test
business.industry
Sinonasal Tract
Surgical Mesh
medicine.disease
Magnetic Resonance Imaging
digestive system diseases
medicine.anatomical_structure
Surgical mesh
Otorhinolaryngology
Female
Surgery
Nasal Cavity
Neoplasm Recurrence, Local
Oral Surgery
Tomography, X-Ray Computed
business
Paranasal Sinus Neoplasms
Follow-Up Studies
- Language
- ISSN
- 1865-1569
1865-1550
Adenocarcinomas arising from the nasal cavity and paranasal sinus are malignant tumours that are not of minor salivary gland origin, and they do not demonstrate histopathological features of sinonasal intestinal-type adenocarcinoma. These adenocarcinomas are divided into low- and high-grade subtypes. We herein present a case to highlight the significance of a correct histological diagnosis for treatment and follow-up. We report a case of a recurrent low-grade adenocarcinoma arising in the left nasal cavity and extending to the ethmoid, maxillary sinus and orbital floor. No facial deformity or proptosis was present. The diagnosis was made by analysis of a sample taken by biopsy and CT–MRI. We performed a radical maxillectomy and reconstruction with a temporalis muscle flap and a titanium mesh for the orbital floor. Low-grade adenocarcinomas of the sinonasal tract are a challenge for the pathologist to differentiate from benign adenomas and high-grade adenocarcinomas, but the distinction is important because the treatment and prognosis differ. Treatment success is determined by complete surgical excision. We also suggest the usefulness of PET to detect recurrence during follow-up.